The Trauma Pro

MARCH 1, 2024

Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. The US military has adopted its routine use at forward combat hospitals. This study used an adult swine model with hemorrhage and aortic crossclamping to simulate military injury and resuscitation.

Military 279

Military Resuscitation Administration Hospitals 279

Emergency Medicine Journal

SEPTEMBER 27, 2023

In our tertiary medical centre in Northern Taiwan, we collected data on approximately 600 out-of-hospital cardiac arrest (OHCA) incidents transferred to our hospital that occurred in public areas of New Taipei City, using the onset of the major local COVID-19 outbreak in 2021 as the demarcation point between pre-pandemic.

Resuscitation 40

Resuscitation Hospitals CPR Research 40

Dr. Smith's ECG Blog

JULY 14, 2023

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 82

Resuscitation EKG/ECG CPR Outcomes 82

RebelEM

AUGUST 21, 2023

In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. Paper: Eastwood G, et al. N Engl J Med. Epub 2023 Jun 15.

Hospitals 77

Hospitals Resuscitation Outcomes CPR 77

The Trauma Pro

MAY 14, 2024

Resuscitative thoracotomy is a (sometimes) life-saving procedure reserved for trauma patients in extremis. ” One of the most essential components of the resuscitative thoracotomy is rapid access to the chest. It remains a workhorse instrument for us today and is found in most instrument packs for resuscitative thoracotomy.

Resuscitation 147

Resuscitation Operations Hospitals 147

Emergency Medicine Journal

JULY 24, 2023

Background Improving out-of-hospital cardiac arrest (OHCA) prognosis within the working-age population is important, but no studies have investigated the effects of COVID-19 pandemic specifically on the working-age population with OHCAs. to 1.15)) and multiple calls to determine a destination hospital (16.4%

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

University of Maryland Department of Emergency Med

AUGUST 7, 2023

Targeted Therapeutic Mild Hypercapnia after Resuscitated Cardiac Arrest (TAME) Current guidelines recommend normocapnia for out-of-hospital card. Click to view the rest

Hospitals 57

Hospitals Resuscitation 57

RebelEM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

Resuscitation 102

Resuscitation Administration Emergency Department Hospitals 102

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

The Trauma Pro

NOVEMBER 17, 2023

If not, it may be time to terminate resuscitation. My previous statements were based on the way that we organize our trauma team and trauma activations at this hospital. At our hospital, we have 8 people clustered immediately around the patient, with half of them being surgery or emergency medicine residents.

Resuscitation 278

Resuscitation Ultrasounds Hospitals Wellness 278

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Reference: Cashen K, Reeder RW, Ahmed T, et al.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

The Trauma Pro

MARCH 18, 2024

Today, I’ll describe what I found when I brought in my trusty tape measure a few years ago to check out the old trauma bays at Regions Hospital. You’ll have to work out the details using measurements from your own resuscitation room. Tune in to my next post this week on my thoughts on outfitting your resuscitation room.

Resuscitation 147

Resuscitation Hospitals 147

The Trauma Pro

MAY 17, 2024

Early in a resuscitation, we focus on identifying potential sources. This is a major reason for the relative lack of availability, especially at smaller hospitals. Uncontrolled bleeding is the bane of trauma professionals everywhere. We’ve developed numerous techniques for plugging them up.

Resuscitation 147

Resuscitation Research Hospitals 147

Emergency Medicine Cases

JUNE 15, 2020

In this EM Cases Best Case Ever podcast, Dr. Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General.

Sexual Assault 52

Sexual Assault Resuscitation EMS Hospitals 52

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. February 2024.

Resuscitation 87

Resuscitation Airway Management EMS Outcomes 87

University of Maryland CC Project

SEPTEMBER 17, 2021

Mallia, Assistant Professor of Emergency Medicine and Associate Program Director of the Pulmonary and Emergency Medicine-Critical Care Fellowship at MedStar Washington Hospital presents on critical care ultrasound and the volume resuscitation dilemma as part of the DC5 lecture series.

Resuscitation 40

Resuscitation Ultrasounds Hospitals Sepsis 40

Ken Grauer, MD

FEBRUARY 3, 2024

The ECG in Figure-1 was obtained following successful resuscitation. Stat Echo — obtained shortly after successful resuscitation revealed anterior wall akinesis. Figure-1: The initial ECG in today's case — obtained after successful resuscitation from cardiac arrest. ( Is this ECG finding present in today’s initial ECG?

EKG/ECG 382

EKG/ECG Resuscitation Hospitals Wellness 382

The Trauma Pro

FEBRUARY 23, 2024

Unfortunately, they were very conservative, recommending days of bedrest, extended NPO status, very frequent blood draws, and a lengthy hospital stay. Many hospitals, including mine, developed less conservative management routines, noting that children nearly always tolerate liver and spleen injury better than adults.

Pediatrics 259

Pediatrics Hospitals Resuscitation 259

Intensive Care Network

FEBRUARY 19, 2020

The post Back-end sepsis: de-escalating & de-resuscitating appeared first on Intensive Care Network. Hallie Prescott tells us about why the back-end of sepsis matters and is a neglected aspect of our management.

Sepsis 52

Sepsis Resuscitation Hospitals 52

EMDocs

MARCH 20, 2024

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Speaking in “Code” Discussing resuscitation options with patients nearing end of life “A kinder, gentler approach would benefit everyone.” “Code,” “No Code,” “CPR,” “resuscitation,” etc.

Documentation/Coding 88

Documentation/Coding Hospice Resuscitation CPR 88

The Bottom Line

JUNE 19, 2023

In patients resuscitated from out-of-hospital cardiac arrest (OOHCA) does targeted mild hypercapnia compared to targeted normocapnia improve 6-month neurological outcomes?

Resuscitation 98

Resuscitation Outcomes Hospitals 98

Taming the SRU

MARCH 27, 2024

Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial. In this study, the authors aim to assess the hemodynamic effects of prehospital high-dose glucocorticoid treatment in resuscitated comatose OHCA patients.

Resuscitation 87

Resuscitation Outcomes CPR Hospitals 87

Emergency Medicine Cases

MAY 21, 2019

Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care.

Airway Management 52

Airway Management Burns Resuscitation Fluid Resuscitation 52

PHARM

SEPTEMBER 21, 2023

We studied the quality of prehospital care in severe TBI patients by analyzing adherence to recommended target ranges for ventilation and blood pressure, prehospital time expenditure, and their effect on mortality, as well as quality of prehospital ventilation assessed by arterial partial pressure of CO2 (PaCO2) at hospital admission.

Hospitals 40

Hospitals Resuscitation Wellness Outcomes 40

ACEP Now

DECEMBER 10, 2023

He had a recent month-long hospital stay complicated by severe cancer-related pain. You want to respect patient autonomy, but is it legal to let him die without any emergency resuscitation? The answer is no, you cannot allow this patient to die by withholding resuscitative efforts.

Resuscitation 52

Resuscitation Hospitals Documentation/Coding EKG/ECG 52

University of Maryland Department of Emergency Med

DECEMBER 8, 2022

This paper outlines a training course by Hartford Hospital for general surgery and emergency medicine residents. Their goal was to assess pre-a. Click to view the rest

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Resuscitation Shock Hospitals 40

JournalFeed

MARCH 16, 2024

Source: Extracorporeal cardiopulmonary resuscitation versus conventional CPR in cardiac arrest: an updated meta-analysis and trial sequential analysis.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. NEJM 1994. [2] NEJM 1994. [2]

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Resuscitation Fluid Resuscitation Head Injuries Shock 145

Ken Grauer, MD

DECEMBER 29, 2023

The ECG in Figure-1 — was obtained following successful resuscitation. The "good news" — is that after an extended hospitalization, the patient was finally discharged home, and doing well. =

EKG/ECG 372

EKG/ECG Resuscitation Hospitals Wellness 372

JournalFeed

FEBRUARY 17, 2024

Tuesday Spoon Feed: Trauma patients who were resuscitated with whole blood compared to component therapy had improved 24-hour mortality and a decrease in the total amount of blood products needed for resuscitation. These are summaries from just 2 of the 5 article we cover every week!

Blood Transfusions 52

Blood Transfusions Resuscitation Hospitals 52

EM Ottawa

MAY 9, 2024

Please refer to Dr. Mark McKinney’s Grand Round Summary from March 2020 (Parts 1 and 2) for a comprehensive literature review on the topic of resuscitating hypothermic patients. In this blog post, I’ll go into a more in-depth review of the staging of hypothermia and how to manage this problem in the field.

Hyperthermia / Hypothermia 62

Hyperthermia / Hypothermia Resuscitation Hospitals 62

Don't Forget the Bubbles

DECEMBER 18, 2023

I think we should stop resuscitation. How long should you try to resuscitate? There are no hard and fast rules as to how long a resuscitation attempt should be carried out. We might continue resuscitation attempts longer than usual to allow family members to arrive and hold the child’s hand or be at the bedside when we stop.

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Resuscitation Outcomes CPR Hospitals 131

EMDocs

JANUARY 16, 2024

He subsequently walks out of the hospital with a normal neurologic exam two weeks after admission. Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. Resuscitation. 2009;338:b2085.

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Hyperthermia / Hypothermia Resuscitation CPR EMS 83

The Trauma Pro

OCTOBER 6, 2023

At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. This was a big procedure, with the possibility of several major complications, with postop paraplegia being one of them. The concern was that death was nearly certain if the aortic lesion progressed.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

EMDocs

FEBRUARY 20, 2024

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. Question:In adults with acute pancreatitis, does moderate fluid resuscitation compared to aggressive resuscitation reduce the development of moderately severe or severe pancreatitis? N Engl J Med. 2022 Sep 15;387(11):989-1000. to 9.8L) Moderate: 5.5L (Range 4.0

Fluid Resuscitation 80

Fluid Resuscitation Resuscitation Outcomes Hospitals 80

The Trauma Pro

APRIL 30, 2024

They performed a systematic search of the literature, analyzing the impact of each procedure on in-hospital mortality. The resuscitation equipment is not on par with the OR, and one never knows exactly how long the procedure will last. The trauma group in Newcastle, Australia did just this. Pay attention to hemodynamic stability.

Radiology 147

Radiology Radiology Research Fractures 147

AED Leader

JANUARY 5, 2024

The 80-year-old Brazilian man was resuscitated, after which he was sedated and intubated in the hospital. He was still in the hospital as of 5 January 2024 when his family was waiting hopefully for him to wake up. Former F1 driver Wilson Fittipaldi Jr suffered a cardiac arrest after choking on Christmas dinner in December 2023.

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Resuscitation Hospitals 52