The Trauma Pro

FEBRUARY 14, 2025

The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime.

Shock 165

Shock Resuscitation 165

Board Bombs

MAY 11, 2025

Learn how to rapidly identify shock types, apply the RUSH exam, and stabilize critically ill patients in the ED. Shock and Hypotensive? Learn how to rapidly identify shock types, apply the RUSH exam, and stabilize critically ill patients in the ED. Shock and Hypotensive? Want to experience the greatest in board studying?

Shock 52

Shock 52

RebelEM

DECEMBER 27, 2023

Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock. Norepinephrine is a great first line vasopressor in Cardiogenic shock. Dobutamine is useful for inotropic support in Cardiogenic shock. Use POCUS in ED. Read more

Shock 107

Shock EMS Resuscitation 107

Ken Grauer, MD

JUNE 15, 2025

NOTE: Most of the time — an uncomplicated acute MI will not result in sinus tachycardia unless something else ( ie, heart failure, cardiogenic shock ) is going on. Subendocardial Ischemia from another Cause ( ie, sustained tachyarrhythmia; cardiac arrest; shock or profound hypotension; GI bleed; anemia; "sick patient", etc. ).

EKG/ECG 238

EKG/ECG Shock CPR EMS 238

EM Ottawa

JANUARY 9, 2025

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced.

Shock 119

Shock Emergency Department Infectious Diseases Sepsis 119

EM Ottawa

JANUARY 29, 2024

Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by cardiogenic shock?

Shock 108

Shock 108

Emergency Live

APRIL 17, 2024

Cardiology has a new ray of hope for patients affected by myocardial infarction complicated by cardiogenic shock. The study called DanGer Shock has revolutionized the treatment of this serious condition using the Impella CP heart pump. It’s a small but incredibly powerful life-saving device.

Shock 98

Shock 98

PulmCCM

NOVEMBER 11, 2024

Since the vast majority of mortality from cardiogenic shock occurs in the first 30 days, why would the survival benefit of an Impella be so delayed? The control arm had 59% mortality at 6 months—higher than other trials enrolling cardiogenic shock patients at a similar severity of illness. Patients in the Impella arm had 2.8

Shock 98

Shock Sepsis Outcomes Research 98

EMDocs

MAY 31, 2023

The post Visual Wednesdays: Septic Shock Management appeared first on emDOCs.net - Emergency Medicine Education. Author: Walid Malki, MD ( @Wandering_ER ) // Reviewed by: Brit Long, MD (@long_brit); Alex Koyfman, MD (@EMHighAK) Welcome the Visual Wednesdays, a series that provides focused EM updates with infographics.

Shock 95

Shock EMS Sepsis 95

St. Emlyn

OCTOBER 21, 2024

FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. appeared first on St.Emlyn's.

Shock 111

Shock Outcomes 111

St. Emlyn

FEBRUARY 6, 2025

Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing. The post TBS Top papers 2025 (part 1) appeared first on St.Emlyn's.

Fractures 126

Fractures Shock Research 126

Taming the SRU

OCTOBER 31, 2024

Development of a New Screening Tool for Pediatric Septic Shock. Ann Emerg Med 2024; Big Picture Current screening tools for pediatric septic shock and sepsis are highly specific but lack sensitivity. Score ranges from 0-4 points Quick Pediatric Septic Shock Screening Score (qPS4). of patients. Sensitivity of 89.7% vs. pSOFA 43.9%

Sepsis 94

Sepsis Shock Pediatrics Administration 94

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 117

Shock Outcomes Hospitals EMS 117

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

The VSR is what is causing the cardiogenic shock! Mechanical complications occur acutely and significantly alter hemodynamics leading to comp ensatory mechanism which usually involve vasoconstriction and tachycardia, both hallmarks of cardiogenic shock. PIRP is strongly associated with myocardial rupture.

Shock 111

Shock EKG/ECG Hospitals Wellness 111

University of Maryland CC Project

AUGUST 18, 2024

In this talk, he discusses the management of refractory distributive shock with a focus one of the novel therapeutics, angiotensin II (trade name Giapreza).

Shock 75

Shock Academics 75

RebelEM

DECEMBER 17, 2024

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). Importantly, all of the patients in this study had septic shock requiring vasopressors and mechanical ventilation. PMID: 26436473 Schortgen F et al.

Sepsis 75

Sepsis Shock EMS Emergency Department 75

EM Ottawa

APRIL 18, 2024

Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital Cardiac Arrest: A Multicenter Study Background and Objectives Around 60,000 out-of-hospital cardiac arrests (OHCA) occur in Canada each year, which […] The post PTM Journal Club: BVM Ventilation and Refractory Shock in Out-Of-Hospital Cardiac Arrest appeared first on EMOttawa Blog. (..)

Shock 103

Shock Hospitals Wellness Resuscitation 103

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 94

Shock Outcomes Hospitals EMS 94

PulmCCM

DECEMBER 3, 2024

Maintaining a mean arterial pressure (MAP) of 65 mm Hg has been advised for patients with sepsis and other forms of vasodilatory shock. More than a dozen randomized controlled trials (RCTs) have sought to identify whether higher or lower MAP targets produce better outcomes in critically ill patients with shock. Epub ahead of print.

Shock 75

Shock Sepsis Outcomes Hospitals 75

University of Maryland Department of Emergency Med

NOVEMBER 17, 2023

This small study suggests using reverse shock index times the Glasgow Comma Scake score may give a prognostication on pediatric trauma seve. Click to view the rest

Shock 90

Shock Pediatrics 90

Dr. Smith's ECG Blog

MARCH 7, 2024

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this?

Shock 128

Shock EKG/ECG Documentation/Coding 128

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. He was admitted to the ICU and was unstable, in shock, overnight. Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. The initial K was 3.0 mEq/L and ionized calcium was 5.5 What is going on here?

Shock 98

Shock EKG/ECG Documentation/Coding Resuscitation 98

RebelEM

NOVEMBER 6, 2023

Background Information: Vasoplegic shock is defined as hypotension with normal or increased cardiac output and can commonly occur in post-cardiac surgery patients having received cardiopulmonary bypass. Hydroxocobalamin Versus Methylene Blue for the Treatment of Vasoplegic Shock Associated With Cardiopulmonary Bypass. 2023 Jul 19.

Shock 69

Shock Administration Academics Hospitals 69

EMDocs

DECEMBER 1, 2024

Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Clinical Infectious Diseases , vol. 6, 2008, pp. Oxford University Press. Accessed 19 Aug. Berry M, Wang AM, Lahham RF, Zhang X, Pacheco LD. Blanton LS. 2009.09.010.

EMS 94

EMS Infectious Diseases Shock Airway Management 94

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 91

Dislocations Shock EMS Sepsis 91

PulmCCM

APRIL 14, 2025

It appears the agency did so in 2020 for the PCORI-funded CLOVERS randomized trial comparing fluid strategies in septic shock, in which patients were routinely exempted from receiving crystalloid resuscitation if they were improving. “SEP-1 protocol to manage severe sepsis and septic shock”, Chest/ACCP website, 2022.

Sepsis 93

Sepsis Infectious Diseases Administration Shock 93

Pediatric EM Morsels

JUNE 2, 2023

Food Protein Induced Enterocolitis Syndrome (FPIES): Basics Non IgE-mediated food allergy ( Calvani, 2021 ) Profuse vomiting and diarrhea that can progress to lethargy , pallor , and shock Usually seen in infants (<1 year) as new foods are being introduced in diet Common dietary triggers include grains, cow milk and soy ( Michelet, 2017 ) Can also (..)

Dehydration 196

Dehydration Shock Pediatrics Emergency Department 196

Medagadget

JULY 12, 2023

Moximed , a medtech company based in California, has developed the MISHA knee system, an implantable shock absorber for use in patients with knee osteoarthritis. Anton Clifford: The MISHA Knee System is the first FDA-cleared implantable shock absorber developed for the treatment of medial compartment knee osteoarthritis.

Shock 73

Shock 73

Critical Care North Hampton

JUNE 12, 2025

Explore the critical link between ICU-acquired weakness and cardiogenic shock in patients requiring mechanical support, highlighting biomarkers and outcomes.

Shock 84

Shock Outcomes Research 84

Cook County EM Blog

JUNE 6, 2025

Today we will discuss BRASH syndrome , which stands for Bradycardia, Renal failure, AV Blockade, Shock and Hyperkalemia. BRASH Syndrome: Bradycardia, Renal Failure, AV Blockade, Shock, and Hyperkalemia. He has metoprolol on his medication list but denies taking more than prescribed. So what’s actually going on? April 14, 2021.

Shock 52

Shock EKG/ECG Fluid Resuscitation Resuscitation 52

Dr. Smith's ECG Blog

MAY 30, 2023

A 50-something man presented in shock with severe chest pain. The patient was in clinical shock with a lactate of 8. This confirms inferior, posterior, lateral, and RV MI RV MI often leads to shock and (systolic) hypotension. RVMI explains part of the shock. His prehospital ECG was diagnostic of inferior posterior OMI.

Shock 97

Shock EKG/ECG Academics Stroke 97

Taming the SRU

DECEMBER 17, 2024

Other contraindications include those who are unable to drink liquid (respiratory problems or impaired unconsciousness) and patients in shock, persistent vomiting, or with an ileus. In addition to the evidence supporting its efficacy, ORT can be cost effective in comparison to IV fluids (in the appropriate context).

Dehydration 98

Dehydration Fluid Resuscitation Administration Resuscitation 98

Board Bombs

JANUARY 5, 2025

Were starting off the year strong with a quick review of the 4 major types of shock and your approach to each one. Shock types in 15 minutes. Were starting off the year strong with a quick review of the 4 major types of shock and your approach to each one. Shock types in 15 minutes. January 6th, 2024. Accessed [date].

Shock 52

Shock 52

Emergency Live

AUGUST 19, 2024

FDA approved the first adrenaline-based nasal spray used to treat anaphylactic shock An epochal breakthrough in the management of severe allergic reactions has been announced by the US Food and Drug Administration (FDA).

Shock 52

Shock Allergic Reactions Administration Research 52

Emergency Live

SEPTEMBER 24, 2024

New allergist task force in action The shortage of adrenaline self-injectors, essential life-saving drugs to counter anaphylactic shocks, is taking on alarming proportions in Italy.

Allergic Reactions 52

Allergic Reactions Shock 52

ALiEM

FEBRUARY 20, 2024

Author information Timothy Harmon, MD Emergency Medicine Resident Inova Fairfax Medical Campus, George Washington University | The post ACMT Toxicology Visual Pearl: Salt, not Shock appeared first on ALiEM.

Shock 73

Shock EKG/ECG Poisoning Burns 73

The Bottom Line

OCTOBER 28, 2023

Landiolol and Organ Failure in Patients With Septic Shock Whitehouse. 2023.20134 Clinical Question In patients with tachycardia and septic shock who are treated with high dose norepinephrine does the use of β-blockade for up to 14 days reduce organ failure compared to standard care? JAMA Published online October 25, 2023.

Shock 65

Shock Sepsis 65