Taming the SRU

DECEMBER 17, 2024

This article serves to briefly discuss IV fluids administration in the ED and the instances where they are not indicated. IV fluid administration was more associated with phlebitis. Considering the nationwide IV fluid shortage, judicious use of fluids is imperative. A systematic review by Freedman et al.

Dehydration 88

Dehydration Fluid Resuscitation Administration Resuscitation 88

The Trauma Pro

MARCH 1, 2024

The IV peak was higher than IO and approached statistical significance (0.053) ROTEM showed that the animals were significantly hyperfibrinolytic after injury, but rapidly corrected after administration of TXA. Results were the same for both IV and IO groups. Bottom line: This was a very simple and elegant study.

Military 279

Military Resuscitation Administration Hospitals 279

The Trauma Pro

DECEMBER 6, 2024

Evidence shows that it is a repository for the gut microbiome, which can help repopulate the colon with bacteria after a serious insult like prolonged antibiotic administration. The appendix is not the useless vestigial structure we initially thought. Unnecessary removal may ultimately interfere with gut health and disease. Sure, at any time.

Operations 147

Operations Administration Wellness 147

The Skeptics' Guide to EM

NOVEMBER 16, 2024

With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. In healthcare, AI is being leveraged to enhance clinical decision-making, streamline administrative processes, and improve patient outcomes.

Emergency Department 108

Emergency Department Administration Outcomes Patient Safety 108

PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. During cardiac arrest, every second matters (at least potentially).

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

Emergency Medicine News

NOVEMBER 17, 2023

An abstract is unavailable.

Administration 134

Administration 134

PulmCCM

APRIL 14, 2025

Because SEP-1 was enacted by CMS’s administrative fiat, no randomized trials have been performed before or since to gauge its effectiveness. fluid administration, blood culture and lactate collection, and antibiotics, delivered in the first 3 hours. Five did not report on the association between bundle compliance and mortality.

Sepsis 93

Sepsis Infectious Diseases Administration Shock 93

EM Ottawa

JUNE 19, 2023

Findings: There was no statistically significant difference in median total 24hr blood product […] The post Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients With Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial appeared first on EMOttawa Blog.

Administration 95

Administration 95

St. Emlyn

JANUARY 13, 2025

With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care. Ideal for clinicians and researchers aiming to optimise anaesthesia practices and enhance patient outcomes in emergency settings.

Administration 59

Administration Research Outcomes 59

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

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.

Administration 179

Administration COPD Wellness 179

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

PEMBlog

APRIL 22, 2025

brings forward the voices of parents, ED clinicians, and administrators, and outlines practical steps to make EDs more compassionate and accessible for children with ASD. For many children with ASD, the ED is not just unfamiliarits overwhelming. A study by Nicholas et al. Here are six key takeaways and what you can do starting today.

Pediatrics 89

Pediatrics Emergency Department Administration Hospitals 89

EMCrit

JUNE 17, 2024

BSI is distinct from traditional rapid sequence intubation (RSI), since BSI involves the delivery of machine-initiated, pressure-controlled breaths following administration of sedation and paralytics. […] EMCrit Project by Josh Farkas.

Administration 137

Administration 137

The Trauma Pro

JUNE 4, 2024

To avoid this, a number of vented products have been developed and approved by the US Food and Drug Administration (FDA). But there is a danger that this could result in development of tension pneumothorax, because the dressing not only keeps air from getting in but also keeps any buildup of pneumothorax from getting out.

Administration 214

Administration Research Wellness 214

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 145

Administration Outcomes Shock 145

RebelEM

MARCH 12, 2024

The post Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration? Administer the pretreatment medications as this should prevent any severe allergic reaction. appeared first on REBEL EM - Emergency Medicine Blog.

Allergic Reactions 58

Allergic Reactions Administration EMS 58

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 116

Administration 116

RebelEM

FEBRUARY 19, 2024

Historically the administration of vasopressors was restricted to central venous catheters (CVC) due to concerns for local tissue injury resulting from vasoconstriction if extravasation occurred from a peripheral IV. Peripheral Administration of Norepinephrine: A Prospective Observational Study. Paper: Yerke JR et al. CHEST 2024.

Administration 137

Administration Sepsis EMS Shock 137

ACEP Now

MAY 9, 2025

vWF antigen increased from 242 to 289 activity (p=0.004) indicating that desmopressin administration was associated with increased vWF levels Median change in hematoma volume was 0.5 (-1.4 Prospective study N = 14 Patients had either known aspirin use or reduced platelet activity and received desmopressin 0.4

Allergic Reactions 52

Allergic Reactions Anaphylaxis Administration Operations 52

ALiEM

JUNE 24, 2024

Known Techniques of Adenosine Administration Currently, there are 2-syringe and 1-syringe methods that are widely accepted for the administration of adenosine. The unique aspect of the trick is to incorporate a high-pressure, unidirectional IV fluid administration system. With an ultrafast half-life estimated to be between 0.6

Administration 114

Administration Hospitals 114

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 140

Administration Operations Resuscitation 140

Broome Docs

NOVEMBER 17, 2024

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Resuscitation. 2024 Aug;201:110266.

Administration 60

Administration Resuscitation Radiology Radiology 60

Life in the Fast Lane

JUNE 12, 2024

Case study and review of dose, administration and indication for GTN nebuliser administration Kane Guthrie Nebulised GTN in the ED Nebulised GTN in the ED.

Administration 104

Administration 104

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

Emergency Medicine Journal

NOVEMBER 21, 2024

This study investigated whether delayed sequence intubation (DSI), with the administration of ketamine 3 min prior.

Administration 52

Administration Outcomes 52

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 231

Resuscitation Fluid Resuscitation Administration Shock 231

The Skeptics' Guide to EM

APRIL 19, 2025

imaging) without clinical context, administrative or operational outcomes (e.g. Population:Studies involving AI or ML-based clinical decision support tools applied to individual patient care in the ED, published 2010 - 2023. Excluded: Models that assessed a specific test (e.g. patient census), models involving irrelevant data (e.g.

Emergency Department 79

Emergency Department Outcomes Operations Administration 79

EM Ottawa

FEBRUARY 15, 2024

Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etimodate: Into the Void appeared first on EMOttawa Blog.

Administration 127

Administration Resuscitation 127

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!

Leadership 98

Leadership Administration Patient Safety Research 98

RebelEM

JANUARY 18, 2024

Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Paper: Varney J et al. to 0.97; p = 0.02 to 2.07; p = 0.91

Sepsis 132

Sepsis Hospitals Administration Outcomes 132

EB Medicine

MAY 1, 2024

Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department Diving Into Ketamine Use in Emergency Medicine Understanding Ketamine: From Origins to Emergency Use Exploring the Ketamine Brain Continuum Ketamine Dosing and Administration Techniques Combining Ketamine with (..)

Emergency Department 118

Emergency Department Administration 118

Emergency Medicine Journal

MARCH 25, 2025

The 1-BED.

Sepsis 52

Sepsis Emergency Department Administration Outcomes 52

Pediatric EM Morsels

SEPTEMBER 22, 2023

Crystalloid may help, but neurogenic shock may not respond to fluid administration. Treatment Cautious crystalloid infusion This can lead to worsening anemia and coagulopathy in polytrauma patients with hemorrhage and may increase spinal cord edema. Alpha 1 agonists are necessary to maintain appropriate blood pressure.

Shock 307

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 307

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 114

Administration EMS 114

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.

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

Pediatric EM Morsels

JULY 19, 2024

Soak the gauze with epinephrine (1:10,000) or TXA (our THIRD route of administration) Apply pressure laterally to the tonsillar fossa with the gauze covered Magill forceps. . < 25 kg = 250 mg up to 3x > 25 kg = 500 mg up to 3x Direct Pressure Always the best way to stop bleeding. Don’t await for fancy meds to arrive from pharmacy.

Airway Management 293

Airway Management Pediatrics Wellness Operations 293