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

Northwestern EM Blog

MAY 2, 2022

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52

Burns Poisoning EKG/ECG Operations 52

Taming the SRU

FEBRUARY 7, 2024

Ferreri Bedside US can allow for rapid diagnosis as well as narrowing of a broad differential Bedside ultrasound, specifically in the peri-arrest period, can alter direction of resuscitation acutely Bedside ultrasound provides actionable data for your consultants to act upon Consider US as an extension of your physical exam Landmark Studies of EM For (..)

Administration 87

Administration PPE Ultrasounds Poisoning 87

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, clinical skills, critical care, resuscitation, and trauma management. Review the Exam Syllabus: Carefully go through the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases 52

Infectious Diseases Airway Management Dislocations Resuscitation 52

EMDocs

JULY 19, 2023

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. Adverse Drug React Acute Poisoning Rev. Am J Cardiol.

Poisoning 65

Poisoning Fluid Resuscitation Administration Seizures 65

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. If the patient does not respond to resuscitative measures, cardiopulmonary bypass and extracorporeal membrane oxygenation may be considered. Early consultation with the poison center is prudent. Bishop-Freeman, Erin M.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

EMDocs

APRIL 10, 2024

2] Labs that may be useful after the initial resuscitation and for the admitting physician may include a basic metabolic panel and an arterial or venous blood gas analysis. [2] Poisoning & Drug Overdose. Epidemiology Most common cause: inadvertent intravascular injection. per 10,000 cases of peripheral nerve blocks. [3]

Advances Cardiac Life Support (ACLS) 91

Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 91

University of Maryland CC Project

MAY 25, 2023

Rose, MD, MBA, Associate Professor of Medicine, Interim Chair of the Department of Dermatology, and Associate Dean of Innovation & Physician Science Development at the University of Maryland SOM and Director of Faculty Entrepreneurship at the University of Maryland Baltimore presents our Critical Care Grand Rounds with a lecture entitled, “Developing (..)

Resuscitation 40

Resuscitation Poisoning 40

The Skeptics' Guide to EM

FEBRUARY 2, 2019

While supplemental oxygen is undoubtedly beneficial for patients acutely desaturating, in respiratory distress, or suffering from carbon monoxide poisoning just to name a few, there is widespread “indication creep” for this therapy.

Administration 52

Administration Poisoning Hospitals Outcomes 52

ACEP Now

MARCH 6, 2024

Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial. Effect of lower vs higher oxygen saturation targets on survival to hospital discharge among patients resuscitated after out-of-hospital cardiac arrest: the exact randomized clinical trial. 2023;330(23):2267.

Research 52

Research Airway Management Stroke Outcomes 52

Taming the SRU

APRIL 13, 2023

Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C EtOH, amphetamines, or cocaine) Prescription drugs (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Thinking Critical Care

MAY 18, 2023

This hypovolaemic shock state was to be maintained for one or two hours before the shed blood was retransfused and the effect of experimental drugs on resuscitation could be tested. [11] I do not recall one experiment getting as far as the resuscitation stage. The reason became clear. There are post scriptums to this story.

Shock 40

Shock Research Sepsis Resuscitation 40

ACEP Now

FEBRUARY 11, 2024

Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion. Poison centers see nearly 1,500% increase in calls related to injected weight-loss drugs as people accidentally overdose. Diabetes Care. 2018;41:258–66. CNN website. Published December 18, 2023.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

EB Medicine

SEPTEMBER 1, 2018

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Mind The Bleep

JULY 8, 2023

Start with the actual question and answers and apply these to the stem to find the information, for instance asking “What is the most likely poison”, but only one causes a raised anion gap, you can search the stem for the anion gap to select or exclude it. Life Advice Sitting MRCP is a careful balancing act which feels impossible.

EKG/ECG 52

EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, critical care, resuscitation, trauma management, and relevant guidelines. Review the Exam Syllabus: Carefully review the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

Intensive Blog

FEBRUARY 9, 2023

Show answer In this case, the history pointed towards mushroom poisoning. Most cases of mushroom poisoning are self-limiting episodes of gastrointestinal upset. There are many different syndromes associated with mushroom poisoning in Australia including cholinergic, hallucinogenic, glutaminergic, disulfram-like and hepatotoxic 3.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EMDocs

JANUARY 4, 2024

6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center. An 11-year review of bupropion insufflation exposures in adults reported to the California Poison Control System. Case Follow-up: The patient required a dose of lorazepam in the emergency department.

Seizures 65

Seizures EKG/ECG Poisoning Shock 65

Pediatric Emergency Playbook

JUNE 1, 2016

Is this in an infarction, an infection, a poisoning? for the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; American Heart Association Council on Peripheral Vascular Disease; American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology. Crit Care Med.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Taming the SRU

APRIL 10, 2023

Patient remained hypotensive after fluid resuscitation and was admitted to the CVICU for management. During his admission, the patient’s blood pressure improved with correction of hypovolemia with crystalloid fluid resuscitation, and his CK and troponin trended downward. Journal of Medical Toxicology. 2013;9(2):179-183.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52

Mind The Bleep

SEPTEMBER 12, 2023

Did the baby need resuscitating? What were the APGAR signs? If so, were they intubated and admitted to NICU? Were they cooled? Were the cord gases poor? cord gases are venous and arterial blood sampled from the umbilical cord after birth and give you a pH, base excess, bicarbonate, pC02 and sometimes a lactate.

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. 2) Hypoxia, including poisons of oxidative phosphorylation such as HS, CO, CN. 3) Anemia, or poisons of hemoglobin such as methemoglobin or CO 4) Fixed coronary stenosis that limits flow.

EKG/ECG 52

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 52

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Overlapping categories include the nasal natural airway; expiratory airway obstruction in sleep and resuscitation; Mouth to Nose resuscitation; airway adjuncts that traverse the nasal passage; intubation via the nasal route whether “blind” (auditory, tactile), visualized by laryngoscope or other optical/video/endoscopic device.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40