Mount Sinai EM

JANUARY 11, 2023

Why should I care about this? Regardless of technique, take great care to avoid hyperextending the neck during the removal process. Ok, so it may not be that interesting, however, we should still review how to responsibly remove a helmet. Helmets come in different flavors and sizes and are used for different activities (e.g.

EMS 130

EMS 130

PHEM Cast

MAY 3, 2020

For any direct patient care of patient known to meet the case definition for a possible case, plastic apron, FRSMs, eye protection and gloves should be used. If the vehicle does not have a bulkhead then use of a FRSM is indicated for the driver (additional PPE would be as for other staff if providing direct care).

PPE 52

PPE Airway Management Resuscitation Hospitals 52

The Skeptics' Guide to EM

MARCH 11, 2023

Prehospital Emergency Care 2023 Guest Skeptic: Dr. Chris Root is a third-year resident physician in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. He is also a flight physician with UNM’s air medical service, Lifeguard. Date: March 8, 2023 Reference: Smida et al.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Ziqitza HealthCare Ltd

JULY 19, 2023

In this blog, we will discuss indoor exercise routines for rainy days, outdoor activities and safety precautions, the importance of warm-up and stretching, cardiovascular and strength training exercises, and yoga and meditation for wellness with Ziqitza Health care limited. Home Workouts: Set up a dedicated space in your home for exercise.

Ambulance Services 52

Ambulance Services Wellness Burns 52

Taming the SRU

FEBRUARY 23, 2024

Consider starting more goals of care discussions in the emergency department, not just for patients who are actively dying. The intensity of the care plan while inpatient tends to follow that started in the ED. Advocate for patients who need more urgent follow up or may have more barriers to obtaining follow up.

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

Taming the SRU

MAY 3, 2023

Ultimately, on the cusp of deterioration, the patient was deemed most appropriate for transfer to a medical intensive care unit (MICU) at a large academic hospital via helicopter emergency medical services (HEMS). On arrival of the UC Air Care team, the patient was found to be intubated, sedated, and paralyzed in the prone position.

Wellness 52

Wellness Hospitals Shock Outcomes 52

Don't Forget the Bubbles

MAY 24, 2023

His oxygen saturations are 86% in air, and he has a GCS of 8/15. His notes suggest that he was a difficult intubation in the neonatal intensive care unit. Yet, such intubation is rarely performed outside the intensive care unit. Crit Care Med. J Pediatr Intensive Care. What is a difficult airway? 2018;7(3):115-125.

Airway Management 98

Airway Management Teamwork Pediatrics Emergency Department 98

Resus Review

MAY 6, 2015

This is the responsibility of everyone caring for an ECMO patient including nurses, perfusionists, respiratory therapists, physicians, and surgeons. To help minimize errors and safety risks during shift change, a detailed checklist was developed to help facilitate communication and ensure that all equipment is functioning well.

Documentation/Coding 52

Documentation/Coding Wellness 52

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

During annual fit-testing for masks as Personal Protective Equipment, mine was a foregone determination. That is to say, I would need a “Positive Air Pressure Respirator” [Powered Air-Purifying Respirator] or “PAPR.” The air flow can be cooling on a warm day, but warmth increases and safety decreases as the battery fades.

PPE 40

PPE Infectious Diseases Emergency Nursing Operations 40

Mind The Bleep

APRIL 20, 2024

Fig 7 : Koilonychia Sourced from: Primary care dermatology society Leukonychia is when there is a white discolouration of the nail plate. It can cause mildly decreased lung volumes and air trapping. This can take the form of white spots (leukonychia punctata) or lines (longitudinal leukonychia). uncontrolled asthma).

Shock 52

Shock Wellness 52

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

For babies born at term, it is best to begin resuscitation with room air rather than 100% oxygen. Any supplementary oxygen administered should be regulated by blending oxygen and air, using oximetry to guide titration okf the blend delivered.” Intensive care medicine, 41(1), 49-57. Roberts, JR. doi: 10.1097/01.EEM.0000437839.37882.dd

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

Mind The Bleep

FEBRUARY 29, 2024

Basics Equipment Look at your equipment. I am biased but I highly recommend an air fryer if you live alone/cook for one. Whether you are vegan/veggie/protein junkie or can’t stand the sight of eggs, hopefully you can all take away a tip or two to help fuel future shifts. Mix all the ingredients together in a jug.

Burns 52

Burns Wellness 52

PHEM Cast

APRIL 19, 2016

Prehospital paediatric RSI We do it less despite similar injury aetiology/patterns Most children’s airways can be managed by basic manoeuvres However, children with a significant head injury deserve best airway care – ventilation, metabolic, haemodynamics, positioning. Post PH care they can enter a paediatric specific system.

Head Injuries 52

Head Injuries Ambulance Services Hospitals Leadership 52

Advanced Emergency Nursing from AENJ

APRIL 22, 2014

In the chapter “ Insufflation Methods with Simple Equipment ” written by Dr. Elam in the book Artificial Respiration Theory and Applications by Fifteen Authors, edited by James L. I was wrong. I worked from a contemporary faulty memory. The reference that I had ordered arrived well after the posting. Whittenberger, M.D.,

Emergency Nursing 40

Emergency Nursing Resuscitation Pediatrics Research 40

Resus Review

APRIL 15, 2015

Given the risks, careful planning and preparations are critical. Gather Equipment Required for Proning Pillows (3-4). Perform any necessary wound care and change dressings. Assess lines and tubes for dislodgement/kinks/air entry Position arms in modified swimmers crawl. Flat sheets (2). Dry flow pads (2-3). Clean patient.

EKG/ECG 52

EKG/ECG Wellness 52

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Latterly, equipment standards decried use of a bellows and favored the self-refilling bag. Ruben’s insistence upon including a portable foot-operated aspirator did much to establish portable suction, not requiring power or oxygen supply, in field care. " Part I: Oral Airways, early resuscitation, and recognition of airway care.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

Don't Forget the Bubbles

AUGUST 13, 2023

Risk factors for recurrence are: onset before 18 months of age, shorter duration of fever (< 1hr) before onset of seizures, lower temperature threshold (around 38 0 ), going to child care, multiple seizures in one illness and family history of febrile seizures. All recurrences take place within 2 years.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

Taming the SRU

AUGUST 25, 2023

Harward Resource mobilization and team preparation are essential components of any complex resuscitation Basic tenets of resuscitation are universal: airway, breathing, circulation (the air goes in & out, the blood goes round & round.) CT head versus CTA); different questions beget different stories.

Seizures 66

Seizures Fractures EKG/ECG Resuscitation 66

Taming the SRU

SEPTEMBER 20, 2023

EKG QUICK Hits: electrolyte abnormalities - air care grand rounds - pediatric pain and procedural sedation EKG Quick hits: electrolyte abnormalities WITH Dr. Baez Potassium Hyperkalemia Peaked T-waves (there is tall and spiked T-waves, that you “wouldn’t want to sit on”) PR interval increases Widening of the QRS Can lead to a sine wave Hypokalemia (..)

EKG/ECG 69

EKG/ECG Pediatrics Administration Wellness 69

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Still, except for the public hospital, other hospitals did little emergency work and would have unattended first aid or treatment room in which one could meet one's physician or have an intern provide care in the meanwhile. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Greater Sydney Area HEMS

APRIL 15, 2023

So, we took the opportunity to review some of the key issues and processes involved in Neonatal Life Support (NLS) and how we can deliver this using the equipment in our packs. Resuscitate in air first, and use higher inflation pressures than you would with adults. Resuscitate in air in the first instance, and reassess at 30 seconds.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

FEMinEM

JANUARY 26, 2021

And as he and his wife were physicians, I didn’t need to convince them of the hell that the pandemic had caused; they too had worked when patients with COVID-19 were quickly filling our hospital beds to capacity, when we were told to limit our mask use because our hospital faced shortages of personal protective equipment.

Research 52

Research CDC Hospitals PPE 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 59

Documentation/Coding Seizures Wellness Psychiatric 59

EMDocs

DECEMBER 16, 2023

Point of care glucose in the field was 102 mg/dL. Triage vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air. Cold water immersion is the gold standard if you are equipped for it; otherwise use evaporative cooling and always consider adjunctive measures. Halperin, H.,

Hyperthermia / Hypothermia 67

Hyperthermia / Hypothermia EMS Stroke Seizures 67

RebelEM

NOVEMBER 3, 2022

Indian J Crit Care Med 2022. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. Intensive Care Med. J Crit Care. Intensive Care Med. Article: Sharda SC et al. Granular details of the dosing of induction agents were not given. 2011;37(6):901-910. 2017;38:209-214.

Outcomes 52

Outcomes Emergency Department Sepsis Hospitals 52

EB Medicine

NOVEMBER 1, 2018

You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. Let’s talk about prehospital care for these patients -- a broad topic in this case. Remember, the last thing you want to do is become a victim yourself.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Advanced Emergency Nursing from AENJ

MAY 27, 2014

" Part I: Oral Airways, early resuscitation, and recognition of airway care. It necessitated either switching cylinders from an oxygen device or having extra equipment; but when used outside a hospital was administered with an inhalator or resuscitator by rescue crews or in industrial or electrical, gas, or mining environments.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Taming the SRU

MAY 30, 2023

mg tablets, 10 9% Sodium chloride injection, 500 mL Basic instructions for use of the drugs in the kit AED Of note, there is no requirement for airlines to carry a glucometer or some other common medical equipment. hours earlier and went to OR 3.5 Some airlines may carry more than what is required.

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Pediatric Emergency Playbook

DECEMBER 1, 2016

This mucosal chaos causes epithelial necrosis, destruction of cilia, mucus plugs, bronchiolar obstruction, air trapping, and lobar collapse. Quantitative PCR measures viral load; an increased quantitative viral load is associated with increased length of stay, use of respiratory support, need for intensive care, and recurrent wheezing.

Pediatrics 40

Pediatrics Emergency Department Hospitals Wellness 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

" Part I: Oral Airways, early resuscitation, and recognition of airway care. An Experiment on a Bird in the Air Pump : Wikipedia **Experimental hypoxia. 2005 **Opinion piece upon poor equipment choices, inadequate or dangerous ventilation, AHA’s support for “Hands Only, CPR”, etc. Developmental history.

Resuscitation 40

Resuscitation CPR Documentation/Coding EMS 40

Don't Forget the Bubbles

JULY 5, 2023

Newborn screening improves the care and health of sickle cell patients by: referring patients early to specialist clinics providing early antibiotic prophylaxis providing adequate immunisations to prevent severe bacterial infections monitoring for acute and chronic complications and being able to start medications early to prevent complications.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Her rejoinder was “I didn’t think to blow through the nose, but, boy, did I blow between the teeth! ” The nose in Early Modern Expired Air Resuscitation: Early teaching in expired-air resuscitation was three-fold. Few people now remember that a strong early proposal in the move for expired air resuscitation was Mouth to Nose.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40