EM Ottawa

APRIL 18, 2024

Resuscitation with blood products in patients with trauma-related hemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomized, controlled, phase 3 trial Background The use […] The post PTM Journal Club: Blood Product and ACE-CPR use Prehospital appeared first on EMOttawa Blog.

CPR 113

CPR Shock Resuscitation Wellness 113

Emergency Medicine Journal

OCTOBER 26, 2023

Inclusion criteria were non-traumatic cardiac arrests treated with at least one external electric shock with an automated external defibrillator from the basic life support team and resuscitated by a physician-staffed ALS team. Primary outcome was survival at hospital discharge with a good neurological outcome.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

The Trauma Pro

JANUARY 11, 2024

They cautioned against the use of TXA in the setting of whole-blood resuscitation. Specific ones that come to mind are shock, long bone or spine fractures, and TBI. Reference: Does whole blood resuscitation increase risk for venous thromboembolism in trauma patients? increase in risk. Bottom line: A lot is going on here.

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Resuscitation Fractures Shock 264

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

Resuscitation 40

Resuscitation Shock Hospitals 40

ED ECMO

JANUARY 1, 2021

In this episode Joe Bellezzo talks with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) expert Dr. Zaf Qasim about NON-TRAUMA applications of aortic compression for control of non-compressible non-trauma torso hemorrhage. We discuss this case which highlights the benefit of REBOA as a bridge to definitive hemorrhage control.

Shock 52

Shock Resuscitation Radiology Radiology 52

Emergency Medicine Cases

SEPTEMBER 12, 2023

The post EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients appeared first on Emergency Medicine Cases.

Dislocations 85

Dislocations Shock EMS Sepsis 85

Emergency Medicine Cases

JANUARY 4, 2022

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What is the evidence for intra-aortic balloon pumps, percutaneous ventricular assist devices and ECMO in the patient with cardiogenic shock?

Shock 52

Shock Operations Ultrasounds Resuscitation 52

AED Leader

APRIL 22, 2024

The Role of AEDs in Sudden Cardiac Arrest AEDs are portable electronic devices designed to deliver an electric shock to the heart and restore its rhythm during SCA. AEDs analyze the heart’s rhythm and determine whether a shock is needed. Quick Shock Technology Time is of the essence in a sudden cardiac arrest situation.

CPR 52

CPR Shock Resuscitation Operations 52

Emergency Medicine Cases

JANUARY 14, 2020

In this CritCases blog, Shock and Hypoxia in Blunt Chest Trauma, a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, Mike Misch guides us through a hairy thoracic trauma case, reviewing principles of trauma resuscitation, airway considerations, tension pneumothorax management and a rare and challenging trauma diagnosis.

Shock 52

Shock Ambulance Services Resuscitation EMS 52

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

EM Literature of Note

JANUARY 27, 2024

A brief post collating a few bits of my various work published across the interwebs … The Annals of Emergency Medicine Podcast continues to summarise the meatiest articles from each month, featuring a cycle of new co-hosts, as well: Apple Podcasts Google Podcasts Soundcloud Naturally, there are continuing Journal Club features, covering the (..)

Resuscitation 105

Resuscitation Emergency Department Shock Wellness 105

Emergency Medicine Cases

MARCH 26, 2019

Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does one best recognize occult septic shock? Which fluid and how much fluid is best for resuscitation of the septic shock patients? What are the indications for a second vasopressor after norepinephrine?

Sepsis 40

Sepsis Shock EMS Resuscitation 40

EMDocs

SEPTEMBER 6, 2023

Resuscitate and administer antibiotics. Differential Diagnosis for patient: Infectious endocarditis, CNS infection or abscess, necrotizing soft tissue infection, toxic shock, obstructive pyelonephritis, toxic ingestion, TTP, anaphylaxis with primarily hemodynamic effects, thromembolic phenomenon. Complete primary and secondary survey.

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Anaphylaxis Shock Sepsis Stroke 69

RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4% NEJM 1994. [2] NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

PHEM Cast

APRIL 27, 2023

: Anesthesia & Analgesia Blood pressure in trauma resuscitation: ‘pop the clot’ vs. ‘drain the brain’? – Wiles – 2017 – Anaesthesia Blood pressure management in trauma: from feast to famine?

Resuscitation 52

Resuscitation Shock Operations Hospitals 52

Emergency Medicine Cases

AUGUST 24, 2021

What is the utility of the Shock Index in older patients? The post Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine appeared first on Emergency Medicine Cases. How should we adjust airway management for the older trauma patient? and many more.

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

AED Leader

APRIL 25, 2024

Key Features of the HeartStart M5066A Intuitive Interface : The M5066A features a straightforward and easy-to-use interface, guiding users through each step of the resuscitation process with clear voice prompts and visual indicators. Every second counts in a cardiac emergency; this AED is designed to minimize delays in treatment. Absolutely!

CPR 52

CPR Shock Resuscitation 52

RebelEM

MAY 18, 2023

Background: IV fluids are part of the standard resuscitation bundle in septic shock, however it is unclear if they provide a significant benefit. The goal of the trial was to see if early vasopressors improved shock control by 6 hours. This resulted in better shock control by 6hrs (76.1% Liberal: 14.9% Liberal: 14.9%

Sepsis 83

Sepsis Shock Resuscitation Outcomes 83

Emergency Medicine Cases

APRIL 23, 2024

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic (..)

EMS 104

EMS Resuscitation Outcomes Allergic Reactions 104

EB Medicine

NOVEMBER 17, 2020

Write us at emplify@ebmedicine.net. Write us at emplify@ebmedicine.net.

Emergency Department 40

Emergency Department Shock Resuscitation CPR 40

EMDocs

JANUARY 13, 2024

sodium chloride) reduced acute kidney injury and improved other outcomes in these pediatric patients with septic shock. Source Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial. Crit Care Med. 2023 Nov 1;51(11):1449-1460.

Stroke 61

Stroke Shock Pediatrics Resuscitation 61

AED Leader

APRIL 29, 2024

AEDs are portable devices that can be used to deliver an electric shock to the heart in case of sudden cardiac arrest (SCA), a condition that can strike anyone, anywhere, at any time. These devices provide clear and concise voice prompts and visual instructions to guide the user through resuscitation. How much does an AED cost?

Shock 52

Shock Resuscitation Pediatrics Wellness 52

AED Leader

NOVEMBER 7, 2023

Cardiopulmonary resuscitation (CPR) can save a life in the event of a cardiac emergency, but very few people know how to perform CPR correctly. Cardiopulmonary Resuscitation To administer CPR successfully, you just need to remember the acronym CAB: Compressions, Airway, Breathing. When that occurs, you need to act immediately.

CPR 52

CPR Resuscitation Shock Pediatrics 52

AED Leader

DECEMBER 6, 2023

The group performed cardiopulmonary resuscitation on Schraeder for around 11 to 13 minutes before an ambulance arrived and shocked him with an AED before taking him away. He was fortunate to be surrounded by a “dream team” including a retired pediatrician, a retired law enforcement officer, and a retired respiratory therapist.

CPR 52

CPR Shock Resuscitation 52

AED Leader

DECEMBER 6, 2023

The group performed cardiopulmonary resuscitation on Schraeder for around 11 to 13 minutes before an ambulance arrived and shocked him with an AED before taking him away. He was fortunate to be surrounded by a “dream team” including a retired pediatrician, a retired law enforcement officer, and a retired respiratory therapist.

CPR 52

CPR Shock Resuscitation 52

Emergency Medicine Cases

MAY 4, 2021

The post EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety appeared first on Emergency Medicine Cases.

Airway Management 52

Airway Management Shock EMS Ultrasounds 52

The Bottom Line

FEBRUARY 9, 2023

In patients with severe cardiogenic shock does immediate initiation of VA-ECMO, compared to a trial of conservative therapy and the possibility of rescue VA ECMO, reduce a composite outcome of death, resuscitated cardiac arrest or commencement of another mechanical circulatory support?

Shock 52

Shock Resuscitation Outcomes 52

Pediatric Emergency Playbook

JUNE 1, 2016

Do we recognize shock early enough? World wide, shock is a leading cause of morbidity and mortality in children, mostly for failure to recognize or to treat adequately. So, what is shock? Simply put, shock is the inadequate delivery of oxygen to your tissues. How do we prioritize our interventions? Pericardial Effusion?

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

EMDocs

FEBRUARY 12, 2024

First, there can be a poor correlation between venous and arterial gases in states of shock, hemodynamic instability, or extremes of acid-base disturbances, due to poor cardiac output/circulatory failure impairing venous and arterial flow, with associated poor gas exchange as well as hypercapnia and acidemia at the tissue level (8).

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Emergency Department Resuscitation COPD Shock 93

Mind The Bleep

DECEMBER 19, 2023

Majority of DKA patients are in a fluid deficit and present acutely with shock. Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. Signs of shock to be mindful for are tachycardia, hypotension, prolonged CRT, pallor, and a weak thready pulse.

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Dehydration Fluid Resuscitation Shock Resuscitation 98

The Skeptics' Guide to EM

FEBRUARY 24, 2018

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. NEJM January 2018. NEJM January 2018.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Assessment was severe sudden cardiogenic shock. He remained hypotensive and in shock. Clinically — the patient was felt to be in cardiogenic shock. They recorded an EC G: New ST Elevation.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

Taming the SRU

MAY 5, 2023

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. Each subsequent one-hour delay in antimicrobial administration increases mortality by 35% in patients with septic shock (Im, Kang et al.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Taming the SRU

JANUARY 12, 2024

Often AE-ILD is idiopathic, but treatable causes must be excluded (PNA, PE, volume overload) Treatment for AE-ILD should include antibiotics for CAP coverage (specifically including azithromycin), steroids, and respiratory support; consider opportunistic infection if immunosuppressed as well as diuresis as needed for euvolemia HFNC should be favored (..)

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

AED Leader

MAY 8, 2024

It features an advanced biphasic waveform, which delivers a highly effective shock to the patient’s heart. The device features clear and concise visual and audio prompts that guide the user through each step of the resuscitation process. The Defibtech DBP 2003 excels with its intuitive and user-friendly design.

Shock 52

Shock CPR Operations Resuscitation 52

EMDocs

NOVEMBER 6, 2023

Use of 20% intravenous lipid emulsion can be efficacious in the resuscitation of life-threatening local anesthetic toxicity, especially from bupivacaine. Venoarterial extracorporeal membrane oxygenation can be lifesaving for patients with cardiogenic shock or dysrhythmias that are refractory to other treatment measure s.

Poisoning 92

Poisoning Hyperthermia / Hypothermia Seizures Administration 92

Emergency Medicine Cases

DECEMBER 18, 2018

How does resequencing the initial trauma resuscitation save lives? How can we most readily identify occult shock, the silent killer in trauma? What are 7 actions to consider in the first 15 minutes of resuscitation?

Resuscitation 52

Resuscitation Shock EMS 52