University of Maryland Department of Emergency Med

JUNE 7, 2023

Nitroglycerin easily migrates into polyvinyl chloride (PVC), a plastic commonly used in intravenous tubing due to its flexibility and lo. Click to view the rest

Administration 54

Administration 54

Emergency Medicine News

NOVEMBER 17, 2023

An abstract is unavailable.

Administration 134

Administration 134

PHARM

APRIL 25, 2023

Dantrolene Administration in the Management of the Prehospital Patient with Methylenedioxymethamphetamine Overdose: A Case Series and Literature Review – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC9440799/

Administration 40

Administration 40

Mount Sinai EM

JULY 30, 2023

Important, earlier administration may precipitate increased production of thyroid and worsening of storm. For esmolol, loading dose of 250 to 500 mcg/kg, followed by an infusion at 50 to 100 mcg/kg per minute OR a loading dose of 1 mg/kg over 30 seconds followed by approximately 150 mcg/kg/minute Thionamide – PTU preferred.

COPD 185

COPD Administration Wellness 185

The Bottom Line

OCTOBER 18, 2023

In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?

Administration 138

Administration Resuscitation Operations 138

Life in the Fast Lane

SEPTEMBER 3, 2023

Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 24 - an interview with Dr Amith Shetty on medical administration, leadership, and more!

Administration 98

Administration Leadership Patient Safety Research 98

The Trauma Pro

JUNE 23, 2023

Most people worry about common errors like wrong dose, wrong drug, and wrong route of administration. What are common sources of malpractice complaints against nurses? The most common event is medication error. But one less commonly considered drug-related responsibility is assessment for side effects and toxicity of medications administered.

Documentation/Coding 246

Documentation/Coding Administration 246

Advanced Medical Reviews

MAY 4, 2021

Physician burnout is a prevalent condition, with 42% of doctors reportedly suffering from it. At the top of the list are critical care physicians, rheumatologists and infectious disease specialists. Approximately half of all female physicians report burnout compared to 36% of their male counterparts.

Infectious Diseases 52

Infectious Diseases Administration 52

ACEP Now

AUGUST 25, 2023

The National Heart, Lung, and Blood Institute released an expert panel report in 2014 with evidence-based guidelines for management of SCD recommending timely administration of parenteral opioids for VOE.2 Two interesting findings were time to parenteral opioid administration and total dose of opioid morphine equivalents. Am J Hematol.

Pediatrics 97

Pediatrics Emergency Department Administration Outcomes 97

The Bottom Line

JUNE 19, 2023

In adult patients with major trauma, who are at risk for trauma-induced coagulopathy does early administration of 1g of tranexamic acid (TXA) followed by an infusion of 1g over 8 hours, compared with placebo, increase survival with a favourable functional outcome at 6 months?

Administration 137

Administration Outcomes Shock 137

RebelEM

JUNE 26, 2023

Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. Some clinicians have advocated for early administration of 4-factor. Severe acute traumatic coagulopathy = PT >1.5

Resuscitation 132

Resuscitation Administration Outcomes Ultrasounds 132

EMDocs

AUGUST 24, 2023

Blood cultures were collected from patients before the admiration of antibiotics (gold standard), and then again 30 – 120 min following administration of antibiotics. Yields from the post-antibiotic set of blood cultures were then compared against the pre-antibiotics administration set. Difference of 12% (95% CI 5.4 Ann Intern Med.

Sepsis 77

Sepsis Shock Administration Emergency Department 77

EMDocs

NOVEMBER 6, 2023

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Standard advanced life support with the addition of administration of sodium bicarbonate is appropriate for the treatment of life-threatening dysrhythmias caused by cocaine or other sodium channel blockers. COR 2a, LOE B-NR.

Poisoning 103

Poisoning Hyperthermia / Hypothermia Seizures Shock 103

RebelEM

NOVEMBER 30, 2023

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. Studies without a clear timeframe for fluid administration. 2.89, p = 0.01.

Sepsis 87

Sepsis Fluid Resuscitation Resuscitation Hospitals 87

Emergency Medicine Journal

NOVEMBER 28, 2023

We aim to evaluate whether the timing of antibiotic administration in admitted sepsis patients affects mortality. Interventional and observational studies including adult human patients with suspected or confirmed sepsis and reported time of antibiotics administration with mortality were included. 0.95) and 6h (OR:0.58, 95%CI:0.39-0.86).

Sepsis 40

Sepsis Shock Administration 40

RebelEM

OCTOBER 30, 2023

The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. Most major hemorrhage protocols give a balanced transfusion of PRBCs, FFP, and platelets in ratios approaching concentrations found in whole blood. Fibrinogen products may also be needed to stabilize clots and stem bleeding. Paper: Davenport R et al.

Blood Transfusions 120

Blood Transfusions Hospitals Outcomes Administration 120

AENJ: Current Issue

SEPTEMBER 30, 2023

The emergency department (ED) is a frequent utilizer of alternative routes of medication administration (e.g., One group of medications that has been explored via this route of administration, and is frequently administered in EDs across the nation, is opioids, most notably fentanyl, hydromorphone, and morphine.

Emergency Department 64

Emergency Department Administration 64

University of Maryland Department of Emergency Med

OCTOBER 30, 2023

IV Fluid Resuscitation IVF administration is one of the most common interventions in the resuscitation of critically ill patients. Click to view the rest

Fluid Resuscitation 74

Fluid Resuscitation Resuscitation Administration 74

First 10 EM

OCTOBER 15, 2023

One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) in trauma patients. In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice.

Administration 82

Administration EMS 82

Ken Grauer, MD

SEPTEMBER 1, 2023

Although this ultimately resulted in successful conversion to sinus rhythm — the immediate result of Adenosine administration caused the unusual rhythm discussed above ( seen in Figure-1 ). A DDENDUM ( 9/2/2023 ) : Adenosine was administered to today's patient for treatment of a regular SVT rhythm.

EKG/ECG 289

EKG/ECG Administration 289

The Trauma Pro

SEPTEMBER 15, 2023

Many centers have adopted 2-3 days to delay administration of low molecular weight heparin in patients with solid organ injury. The AAST initiated a prospective multi-institutional trial comparing early ( < 48 hours after admission) and late (>48 hours) administration of prophylactic agents.

Fractures 147

Fractures Administration Wellness 147

RebelEM

NOVEMBER 6, 2023

ug/kg/min of norepinephrine equivalent at time of hydroxocobalamin or methylene blue administration Exclusion Criteria: Administration of hydroxocobalamin or methylene blue for non-VS indications Hydroxocobalamin or methylene blue given > 48 hours after CPB Pre-intervention cardiac index < 2.0 J Cardiothorac Vasc Anesth.

Shock 71

Shock Hospitals Administration Academics 71

Sensible Medicine

AUGUST 31, 2023

The fact that the Biden administration pushes this drug on vaccinated people who already had COVID is a failure of evidence based medicine. Paxlovid has especially poor data, and the consistent pressure from this administration to prescribe it will someday be reminiscent of Tamiflu. These data don’t apply.

Administration 122

Administration Hospitals 122

RebelEM

JUNE 8, 2023

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose.

Emergency Department 95

Emergency Department Administration Outcomes Hospitals 95

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 52

Administration 52

The Trauma Pro

JUNE 30, 2023

Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). Epic Systems became the first, and hospital administrators eventually became aware of it. The biggest question is, why does your hospital want you to use it?

Hospitals 130

Hospitals Resuscitation Emergency Department Administration 130

The Trauma Pro

AUGUST 18, 2023

The Broxton tool covers all the basics and includes some additional data points that cover activation criteria, TXA administration, and administration of uncrossmatched blood. Click here to check it out. The Australian tool is much more robust with more data points that make a lot of sense. You can download a copy by clicking here.

Administration 100

Administration Hospitals Operations Resuscitation 100

ACEP Now

NOVEMBER 7, 2023

He is the former Administrator of the National Highway Traffic Safety Administration and during his tenure, the Agency reframed traffic safety injuries as a national public health issue. An increasing focus of the TRB is to strengthen the link between mobility, transportation, and health.

EMS 98

EMS Emergency Department Administration Risk Management 98

EM Literatue of Note

AUGUST 1, 2023

have grown from 9% of GDP to 20% GDP, and administrative costs are estimated to comprise up to 30% of total national health care spending. suddenly we’re obviously talking about tens of billions of dollars of added administrative overhead. Health care expenditures in the U.S. Multiplied by the 4000+ hospitals in the U.S.,

Sepsis 86

Sepsis Administration Hospitals 86

Sensible Medicine

SEPTEMBER 5, 2023

I make both my posts available here to articulate how the current administration’s vaccine regulation has failed. Vinay Prasad PART 1: The Biden administration seems set on pushing out a fall booster for all age groups. Yet, this administration does not want any. ” That is spot on. We explained that more in NEJM.

CDC 96

CDC Administration Hospitals Research 96

The Trauma Pro

JULY 21, 2023

Use all of this information to work with your hospital administration to find ways to make it better. Your hospital administration will ultimately need to decide how to proceed, depending on how damaging the eTFS is to the trauma PI program and how much it will cost to continue to tweak it vs returning to a paper flow sheet.

Hospitals 130

Hospitals Administration 130

EM Ottawa

NOVEMBER 22, 2023

Question and Methods: In trauma patients with major hemorrhage, does early cryoprecipitate (6g fibrinogen) administration improve survival, compared to standard care? 2023 Oct 12:e2321019. Editorial: Contemporary Adjuncts to Hemorrhage Control. Findings: There was no difference in all-cause mortality at 28 days (25.35

Administration 55

Administration 55

The Trauma Pro

JULY 18, 2023

Talk to your administrative contacts. Continue to work with your hospital administration, showing them this data. You’ve just heard that your hospital is considering switching to an eTFS. Here’s what you should do: Warn everyone you can, loudly! Use all of the ammunition you’ve read about here.

Hospitals 130

Hospitals Administration 130

RebelEM

NOVEMBER 20, 2023

Food & Drug Administration website. Pharmacokinetics, safety, and cardiovascular tolerability of phenylephrine HCl 10, 20, and 30 mg after a single oral administration in healthy volunteers. [link] FDA clarifies results of recent advisory committee meeting on oral phenylephrine. Accessed September 21, 2023. Clin Drug Investig.

EMS 52

EMS Administration 52

Emergency Live

AUGUST 30, 2023

With the recent update from the National Oceanic & Atmospheric Administration (NOAA) indicating an […] The post How Drones Are Revolutionizing Disaster Response in the Caribbean appeared first on Emergency Live.

Administration 82

Administration 82

Mount Sinai EM

OCTOBER 2, 2023

When to use it: Allows administration of medications/solutions that can potentially damage or sclerose peripheral vessels or cause peripheral damage if they extravasate out of the blood vessel into surrounding tissue. Fluid cannot be administered via the main hub.

Resuscitation 240

Resuscitation Fluid Resuscitation Administration Shock 240

RebelEM

JULY 3, 2023

Pregnant or incarcerated patients Documentation for systolic BP is incomplete Intervention: Administration of IV calcium within 60 min prior to or 30 min after IV diltiazem administration in patients with AF/AFL with RVR. Critical information such as HR, SBP, drug administration times were occasionally missing. received CaCl 89.3%

Outcomes 84

Outcomes Administration Emergency Department Hospitals 84