Remove 2000 Remove Operations Remove Resuscitation
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Episode 14: Thoracotomy

PHEM Cast

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. J Am Coll Surg; 2000.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Operators can manipulate the blade with less force to optimize the view, making it easier to identify and navigate the endotracheal tube into the trachea.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. 2000 May 4; PMID: 10793162 Harvey CE, et al.

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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Peter Josef Safar in 2003, who is often called "The Father of Cardiopulmonary Resuscitation," or noted citations of his work in articles written and references given by me here at AENJournal.com and the Advanced Emergency Nursing Blog. " established that exhaled air was a satisfactory gas for resuscitation.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

They may be entrapped; have limited access; may be midway in an operating position that can’t be changed; may need to be sitting due to pulmonary edema, morbid obesity, aspiration prevention or for awake intubation. Resuscitation, 56(1), 83-89. Most training is likewise done with the patient on a table. Try these situations.

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MI in Children

Pediatric Emergency Playbook

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. Fontan Operation and the Single Ventricle. 2000; 35(6):618-622. Author’s advice : obtain troponin testing if there is an abnormal ECG, more than fleeting suspicion of BCI, and/or the child will be admitted for monitoring.