2000, EMS and Shock - Emergency Care Today

Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

MARCH 29, 2024

2000; 105:e 10. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. Pediatrics. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A. Schrier Vergano. Pediatr Rev (2022) 43 (7): 371–383.

Dehydration

Dehydration Pediatrics Sepsis EMS

Glasgow Coma Scale in Children

Pediatric EM Morsels

JULY 21, 2023

We had just received a young child from EMS who was post-ictal with decreased mentation. Pediatric adjusted reverse shock index multiplied by Glasgow Coma Scale as a prospective predictor for mortality in pediatric trauma. The post Glasgow Coma Scale in Children appeared first on Pediatric EM Morsels. Less than 8, intubate!

Head Injuries

Head Injuries Pediatrics Outcomes Shock

REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

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%

Sepsis

Sepsis Shock Resuscitation Outcomes

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?

Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. Troponin T peaked at "only" just above 2000 ng/L. An ICD was placed.

EKG/ECG

EKG/ECG Resuscitation Academics EMS

Is it Time to Take Another Look at the State of Emergency Care in the U.S.?

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. In 2000, as he was completing his second term on ACEP’s Board, he was elected to the IOM – now National Academy of Medicine – in 2000. million in federal grants. National Academics.

EMS

EMS Research Academics Military

Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

OCTOBER 17, 2024

The paramedic notes called STEMI into question: “EMS disagree with monitor for STEMI callout. With both EMS and ED computer interpretations reading ‘STEMI’, the emergency physician activated the cath lab. Comparing J-point between leads noted no significant ST elevation or depression, with QRS prolongation from RBBB.”

EKG/ECG

EKG/ECG EMS Shock Ultrasounds

Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing

Emergency Nursing EMS Resuscitation Military

Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. 2000 May 4; PMID: 10793162 Harvey CE, et al. Rezaie, MD (Twitter: @srrezaie ) The post Impact of Emergency Department Crowding on Lung Protective Ventilation appeared first on REBEL EM - Emergency Medicine Blog.

Emergency Department

Emergency Department Operations Academics Documentation/Coding

Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Jeff: That is simply shocking! Isaac Tawil from the University of New Mexico. This can help with destination selection when relevant. Nachi: Extremely important to identify DOAC use early.

Emergency Department

Emergency Department Stroke Wellness Resuscitation

EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 2000; 6:460–3. 2018.12163 The post EM@3AM: ESBL-Producing Organisms and Their Management appeared first on emDOCs.net - Emergency Medicine Education. 2018;320(10):984–994.

EMS

EMS Infectious Diseases Sepsis Hospitals

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? 4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Figure 2: Open book pelvic fracture.

Fractures

Fractures Resuscitation Operations EMS

Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. Inclusion criteria included hemodynamic stability, initial b hcg < 2000, declining b hcg titers 48 hours prior to treatment, and visible tubal pregnancy on trans vaginal ultrasound. Jeff: Oh it certainly is. Another 2017 multicenter randomized trial found similar results.

Ultrasounds

Ultrasounds Radiology Radiology Infectious Diseases

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

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.

Sepsis

Sepsis Shock EMS Emergency Department

Cholera: ED presentation, evaluation, and management

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. Laboratory testing was not immediately available. Trop Med Infect Dis.

Dehydration

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation

Emergency Care Today

Rebaked: Inborn Errors of Metabolism presenting in the ED

Glasgow Coma Scale in Children

Webinars

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REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

Webinars

Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?

Is it Time to Take Another Look at the State of Emergency Care in the U.S.?

Two patients with chest pain and RBBB: do either have occlusion MI?

Milestones of Modern Progress in Emergency Care

Impact of Emergency Department Crowding on Lung Protective Ventilation

Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EM@3AM: ESBL-Producing Organisms and Their Management

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

Cholera: ED presentation, evaluation, and management

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