EMDocs

JANUARY 16, 2024

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

Hyperthermia / Hypothermia 83

Hyperthermia / Hypothermia Resuscitation CPR EMS 83

Taming the SRU

FEBRUARY 7, 2024

Ultrasound: Make “windows of access”. The Aircare package to increase DASH-1A airways includes placing patient on AirCare monitor, apneic oxygenation, 3 minutes NRB, bagging after paralytic given, starting only when patient > 97%, push dose pressors if needed for hypotension before paralytic, and make sure to use the checklist!

Administration 87

Administration PPE Ultrasounds Poisoning 87

Broome Docs

OCTOBER 28, 2023

Family presence during cardiopulmonary resuscitation. Comparison of Low-Level to High-Level Disinfection in Eliminating Microorganisms From Ultrasound Transducers Used on Skin: A Noninferiority Randomized Controlled Trial. J Ultrasound Med. N Engl J Med. 2013 Mar 14;368(11):1008-18. doi: 10.1056/NEJMoa1203366. 2023 Jun 12.

Ultrasounds 67

Ultrasounds Resuscitation 67

EMDocs

MAY 15, 2024

Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Look for B lines, consolidation, pleural effusion. CT with IV contrast Higher sensitivity and specificity than x-ray. times maintenance.

Blood Transfusions 69

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 69

Ultrasound Gel

JUNE 24, 2019

It is great to see more and more research on ultrasound in cardiac arrest. Here is a nice study that looks to see if ultrasound is associated with increased resuscitation efforts or better survival outcomes. link] It is great to see more and more research on ultrasound in cardiac arrest.

Outcomes 52

Outcomes Ultrasounds Resuscitation Research 52

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. Introduction to Bedside Ultrasound, iBook Ch 2, Basic Cardiac, Pg 27.

Ultrasounds 79

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 79

JournalFeed

OCTOBER 22, 2022

Peds MTP Spoon Feed: A transfusion threshold of 20 ml/kg of any blood product during the first hour of pediatric trauma resuscitation maximizes sensitivity and specificity for in-hospital mortality, need for intervention, and additional bleeding episodes and may identify children in need of massive transfusion.

Ultrasounds 40

Ultrasounds Resuscitation Pediatrics Hospitals 40

PulmCCM

MARCH 1, 2022

The core of the conference is, no doubt, ultrasound, especially because Philippe has been at the forefront of point of care ultrasound in the intensive care unit. Therefore, there will be much ultrasound learning during hands-on workshops, in addition to the large library of digital offerings to supplement the face-to-face component.

Ultrasounds 40

Ultrasounds Resuscitation Sepsis 40

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Resuscitation 59

Resuscitation Ultrasounds Pediatrics 59

EMDocs

JUNE 22, 2023

Remember that while mistakes in resuscitation are often dissected and analyzed, it is equally crucial to acknowledge and celebrate the moments of impeccable execution, where lives are saved and hope is restored. He is on a vasopressin infusion now after the four unit bolus from the initial resuscitation. This guy is an ultrasound guru.

Resuscitation 95

Resuscitation Ultrasounds Critical Access Documentation/Coding 95

Critical Care Now

APRIL 26, 2022

His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. They quickly recognized the underlying condition and began resuscitation and stabilization before transport. Reading Time: 3 minutes Mohamed Hagahmed, MD, EMT-P Mohamed is an Emergency Medicine Physician and EMS director.

Resuscitation 52

Resuscitation Fluid Resuscitation EMS Sepsis 52

Ultrasound Gel

MARCH 18, 2019

TEE has been heralded as the latest and greatest way to monitor a cardiac arrest resuscitation. What we do know is that a few studies have shown that transthoracic ultrasound leads to prolonged pauses in cardiac arrest. link] TEE has been heralded as the latest and greatest way to monitor a cardiac arrest resuscitation.

Resuscitation 52

Resuscitation Ultrasounds 52

JournalFeed

MAY 7, 2022

Airway POCUS Spoon Feed: Upper airway ultrasound (UA-US) may eventually help us predict if a patient will have a difficult laryngoscopy ahead of time. For access to more, please visit JournalFeed.org for details about becoming a member. However, this is not ready for prime-time, and more studies are needed.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Resuscitation Ultrasounds Outcomes 40

EB Medicine

NOVEMBER 17, 2020

EMplify November 2020 An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Authors : Christopher Pitotti, MD, FACEP Jason David, MD Topics : The Lethal Triad Prehospital Care Tourniquets - Placement and Pitfalls Stop The Bleed Hemostatic Dressings TXA Temperature Management ED Assessment Shock (..)

Emergency Department 40

Emergency Department Shock Resuscitation CPR 40

PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

EMDocs

APRIL 2, 2024

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

Documentation/Coding 90

Documentation/Coding CPR EKG/ECG Sepsis 90

Emergency Medicine Ireland

JANUARY 22, 2024

Firstly do a bit of resuscitation. The key is to do an assessment, this likely includes having a sneaky peak at the heart and the lungs with ultrasound. Firstly do a bit of resuscitation. The key is to do an assessment, this likely includes having a sneaky peak at the heart and the lungs with ultrasound.

Sepsis 52

Sepsis Resuscitation Wellness Administration 52

RebelEM

JUNE 19, 2023

Patients were actively screened for DVT (all received lower extremity ultrasound on or around day 7). We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures). Demographics were well balanced in the two groups.

Outcomes 99

Outcomes Blood Transfusions Administration Hyperthermia / Hypothermia 99

Pediatric Emergency Playbook

MARCH 1, 2016

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

The Skeptics' Guide to EM

NOVEMBER 23, 2019

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Date: November 21st, 2019 Reference: Daley et al.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 68

Pediatrics Ultrasounds Wellness Fractures 68

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 79

CPR Burns Airway Management Wellness 79

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

Arrival at time 0 ECG 7 min Roomed in hallway at 17 min Moved to room with monitor at 37 min The patient was seen briefly by the physician, who then went to get an ultrasound machine. Resuscitative attempts were initiated quickly. VF was refractory to amiodarone, lidocaine, double-sequential defibrillation, esmolol, etc.

EKG/ECG 120

EKG/ECG Resuscitation CPR Emergency Department 120

Taming the SRU

FEBRUARY 19, 2024

One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Arterial or cuff pressure: clinical predictors among patients in shock in a critical care resuscitation unit. Cite As: Snyder, B. Broadstock, A.

Shock 59

Shock Resuscitation Ultrasounds Research 59

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

His primary interests are resuscitation, prehospital critical […] The post SGEM#231: You’re So Vein – IO vs. IV Access for OHCA first appeared on The Skeptics Guide to Emergency Medicine. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Taming the SRU

MAY 5, 2023

It would be interesting to stratify the doses of vasopressor administration to the few potential adverse events (all of which resolved), or the location of the peripheral line, given the questions raised regarding safety and patency of ultrasound-guided IVs versus non-ultrasound guided-IVs. Crit Care Med 42 (11): 2315-2324. Bauer, M.,

Sepsis 52

Sepsis Shock Administration Resuscitation 52

ACEP Now

OCTOBER 30, 2023

In December 2014, ESEM brought together a group of local emergency physicians with specialized training in emergency ultrasound, establishing the emergency ultrasound committee, a key step in ESEM’s mission to maintain the highest practice standards and promote professional growth in emergency medicine within the UAE.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

PEMBlog

OCTOBER 26, 2023

Ultrasound and CT may not differentiate it from normal bowel. The feeding artery of the Meckel diverticulum is an anomalous superior mesenteric artery branch. It has a long and non-branching course and ends toward the right lower quadrant.

Radiology 64

Radiology Radiology Administration Shock 64

Emergency Medicine Cases

JUNE 7, 2022

What factors need to be taken into consideration to decide on when to terminate resuscitation of the cardiac arrest patient - when to call the code? How should we integrate PoCUS into cardiac arrest care so we do not interrupt the core components, yet we gain valuable data? and many more.

Documentation/Coding 52

Documentation/Coding CPR Resuscitation EMS 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is in your emergency department with sepsis from pneumonia.

Airway Management 40

Airway Management EMS Administration Resuscitation 40

Mind The Bleep

APRIL 26, 2024

Investigations Bedside Observations Where there is an abscess with pus formation, the temperature will be swinging up and down Capillary blood glucose if diabetic Laboratory Venous blood gas if haemodynamically unstable Full blood count C-reactive protein Blood cultures if patient haemodynamically unstable Pus swab if discharging pus present for MC&S (..)

Emergency Department 52

Emergency Department Fluid Resuscitation Dehydration Resuscitation 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] 3] If performing a nerve block with ultrasound guidance, always know where the tip of your needle is. [5] 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

NOVEMBER 24, 2021

Maryland Critical Care Conference 2021 with various talks on the topic of Resuscitation.

Resuscitation 52

Resuscitation Outcomes CPR Ultrasounds 52

EM Guide Wire

JULY 30, 2019

Orbital cellulitis IV abx, CT scan Unvaccinated children H. Always give with first wave of antibiotics if you are treating necrotizing fasciitis Imaging is not universally helpful Very tough diagnosis, you need a high index of suspicion Consult surgery quickly if suspicious, you will need source control

Shock 40

Shock Resuscitation Ultrasounds 40

Critical Care Now

JUNE 21, 2022

His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. Reading Time: 3 minutes Mohamed Hagahmed, MD, EMT-P Mohamed is an Emergency Medicine Physician and EMS director. Find him on Twitter @HagahmedMD The Pre-brief An 11 y/o boy suddenly collapses at a sporting event.

Seizures 52

Seizures EKG/ECG CPR Shock 52

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. Two classes of vasopressors have been used in the past for hypotension. They are catecholamines and vasopressin-like peptides.

Shock 52

Shock Resuscitation Outcomes Fluid Resuscitation 52

Emergency Medicine Cases

MARCH 10, 2020

Allan Shefrin tells his Best Case Ever of a child who presents in shock and discusses the causes of tension hydrothorax, indications for tube thoracostomy for hydrothorax and integration of POCUS into pediatric resuscitation. The post BCE 81 Tension Hydrothorax appeared first on Emergency Medicine Cases.

Shock 52

Shock Pediatrics Resuscitation Ultrasounds 52