EMDocs
DECEMBER 16, 2023
Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management?
ACEP Now
APRIL 3, 2024
Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Finally, the guidelines support active temperature management’s (though not necessarily hypothermia) role in improving post-arrest outcomes. degrees Celsius. Click to enlarge.
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PulmCCM
JANUARY 22, 2024
Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.
Taming the SRU
MARCH 30, 2024
Predictions scores such as the HOPE score can be used to guide treatment.
Taming the SRU
NOVEMBER 4, 2023
Despite research assessing interventions at various points along the coagulation cascade/inflammatory pathways, there remains no consensus for best treatment and treating the underlying cause is recommended Clinical Decision Rules: Head and C spine Imaging WITH Drs. The ISTH tool on MDcalc can be used to assess the presence of overt DIC.
The Skeptics' Guide to EM
JUNE 24, 2017
Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine.
RebelEM
JUNE 19, 2023
This balance is upset in trauma by loss of blood and factors, acidosis, hypothermia and the inflammatory cascade. The PATCH-trauma researchers sought to address this critique. This should continue to make TXA part of standard trauma resuscitation while additional studies are performed.
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