RebelEM

APRIL 29, 2024

Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

RebelEM

MAY 29, 2023

septic shock). Limited, small studies on its use in septic shock do not make a clear argument for use. Early Adjunctive Methylene Blue in Patients with Septic Shock: A Randomized Controlled Trial. Background: Sepsis can induce numerous physiologic derangements. Paper: Ibarra-Estrada, M et al. Crit Care 2023. 95% CI 15.4

Shock 142

Shock Fluid Resuscitation Sepsis Resuscitation 142

Pediatric Emergency Playbook

AUGUST 1, 2020

Temperature (core) Presentation Management Miliaria Crystallina Normal Salt-colored tiny papules, easily burst; not pruritic Modify environment; light clothing; hydration Miliaria Rubra Normal Discrimiate, red papules, not assocaited with follicles; pruritic Above plus cool compresses; calamine lotion; symptomatic tx for pruritis Miliaria (..)

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Best Practices Pediatrics 52

EMergucate

APRIL 15, 2014

Possible airway and ventilation compromise Concerns: Burns – … Continue reading → Critically unwell patient with 1. Altered GCS 2. Tissue hypoxia 4.

Burns 40

Burns Shock EMS 40

SheMD

MAY 28, 2023

I was excited, scared and still a little bit in shock that I was really there. Once we become attendings, many of us forget what our core values even are and we are hypnotized to follow in the overworked and burned out physicians who came before us. I remember sitting in the classroom on my first day of medical school.

OB/GYN 52

OB/GYN Burns Shock 52

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 79

CPR Burns Airway Management Wellness 79

Downeast Emergency Medicine

APRIL 5, 2021

Findings from 12-lead electrocardiography that predict circulatory shock from pulmonary embolism: systematic review and meta-analysis. Electrocardiographic abnormalities in patients with acute pulmonary embolism complicated by cardiogenic shock. Holmes, MD References: Shopp, et al. Acad Emerge Med 2015. [ Pdf ] Dibgy, et al.

EKG/ECG 52

EKG/ECG Shock Burns Academics 52

Pediatric Emergency Playbook

DECEMBER 1, 2015

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. Take Home Points 1. J Pediatr Surg.

Burns 40

Burns Emergency Department EKG/ECG Shock 40

ALiEM

JULY 17, 2023

Match Data The unprecedented numbers of unfilled PGY-1 EM residency training positions in the NRMP Match results shocked the specialty these last two years. Murano T, Weizberg M, Burns B, Hopson LR. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., Ann Emerg Med. PMID: 37436344.

EMS 52

EMS Burns Emergency Department Shock 52

AED Leader

OCTOBER 11, 2023

If you are hosting a meal at your home, consider brushing up on your CPR, the Heimlich Maneuver, and the steps to take for cuts and burns. Some portable defibrillators can connect to WiFi at a receiving hospital and send the patient’s heart rhythm and a record of the shocks given.

CPR 52

CPR Burns Hospitals Wellness 52

AED Leader

OCTOBER 11, 2023

If you are hosting a meal at your home, consider brushing up on your CPR, the Heimlich Maneuver, and the steps to take for cuts and burns. Some portable defibrillators can connect to WiFi at a receiving hospital and send the patient’s heart rhythm and a record of the shocks given.

CPR 52

CPR Burns Hospitals Wellness 52

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. 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. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% I will continue to reach for pressors early in resuscitation of the septic shock patient.

Sepsis 65

Sepsis Shock Resuscitation Fluid Resuscitation 65

Northwestern EM Blog

JANUARY 24, 2022

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. He may need large amounts of fluid down the track as part of his burns management – we’ll calculate this a bit later. Airway compromised by burns. Keep him warm and covered.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

RebelEM

FEBRUARY 19, 2024

Background: Use of vasopressors is a common practice to support hemodynamics and optimization of tissue perfusion in patients presenting with shock. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. of patients not requiring CVC insertion. CHEST 2024. PMID: 37611862 Evans L et al.

Administration 122

Administration Sepsis EMS Shock 122

Pediatric Emergency Playbook

OCTOBER 1, 2015

He is in compensated shock. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. The Huber needle is not a resuscitative line. Obtain proper access to give fluids -- do not rely on the port-a-cath. Vascular devices are notoriously troublesome.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EB Medicine

DECEMBER 4, 2019

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Fun fact: planes also take off heavy - with tons of fuel that will be burned prior to landing. Jeff: Just as on the ground, shockable rhythms do well with good BLS care.

Wellness 40

Wellness Dehydration EMS Burns 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Minor burns can be treated topically and with oral medications. Major burns require IN, IM, or IV analgesics with morphine. Unexplained tachycardia may be the early signs of shock.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Etomidate is perfectly acceptable, but ketamine is actually a superior drug to etomidate in the rapid sequence intubation of children in septic shock. On the other side of the spectrum, permissive hypotension is not described in children, as hypotension is a late and dangerous sign of shock. Relax, it’s a myth.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

EMDocs

JULY 15, 2023

She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. She denies any prior history of deep vein thrombosis (DVT, IV drug use, or any history of vascular surgeries to the lower extremities. pneumoniae , S.

EMS 64

EMS Infectious Diseases Shock Ultrasounds 64

Northwestern EM Blog

DECEMBER 27, 2021

Marc Sala, summarize the current literature on the peripheral infusion of vasopressors, which is becoming more and more commonplace as the evidence evolves to support earlier initiation of pressors and more judicious use of crystalloid for many forms of shock.

Dislocations 52

Dislocations Emergency Department Burns Shock 52

Taming the SRU

AUGUST 30, 2023

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. Intensive Care Med.

Infectious Diseases 78

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 78

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 59

Documentation/Coding Seizures Wellness Psychiatric 59