EMDocs

MAY 15, 2024

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Hypervolemia – leads to pulmonary edema: Consider diuresis If euvolemic – start maintenance fluids of D5 in 0.45%NS

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. The GCS should be measured after airway, breathing, and circulation are assessed, after a clear airway is established, and after necessary ventilatory or circulatory resuscitation has been performed.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

EMDocs

MAY 28, 2024

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Decreases splinting and improves tidal volumes. Bronchodilators Indicated for patients with wheezing, history of asthma. N Engl J Med.

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

Don't Forget the Bubbles

NOVEMBER 15, 2023

In a PICU setting, sodium can come from various sources (resuscitation fluids, IV drugs and infusions, enteral feed), not just the maintenance fluids we prescribe. There is growing interest in giving no maintenance fluid and using the input from drug infusions and resuscitative boluses only. Most drugs are chosen to be dissolved in 0.9%

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

EMDocs

JULY 13, 2024

doi: 10.1002/(SICI)1098-0997(2000)8:2<77::AID-IDOG3>3.0.CO;2-6. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Prevalence and clinical significance of postpartum endometritis and wound infection. Infect Dis Obstet Gynecol.

OB/GYN 89

OB/GYN EMS Sepsis Fluid Resuscitation 89

The Skeptics' Guide to EM

DECEMBER 2, 2017

You are the first physician to respond and you begin to resuscitate the patient. The survival rate for IHCA has almost doubled from the year 2000 when it was only 13.7%. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

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.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

EMDocs

SEPTEMBER 25, 2023

Resuscitation 2013; 84(11): 1500 – 4. Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8. Incidence and factors associated with cardiac arrest complicating emergency airway management. PMID: 23911630 Kim WY et al. PLoS One 2014; 9(11): e112779. PMID: 25402500 Forsythe SM et al. Prehosp Emerg Care. Prehosp Emerg Care.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Taming the SRU

NOVEMBER 29, 2023

Lumbar puncture with xanthochromia or > 2000 RBCs in tube 4 should increase suspicion for SAH. Complex trauma resuscitations Blunt cardiac injury represents a range of conditions from clinically silent to fatal injuries. Workup with a negative troponin and EKG reliably rules out BCI.

Stroke 53

Stroke EKG/ECG Resuscitation Shock 53

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

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. 10/20/2013.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

RebelEM

MARCH 27, 2023

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.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Pediatric Emergency Playbook

NOVEMBER 1, 2015

We have a few minutes to optimize, to resuscitate before we intubate. in Anethesia and Analgesia in 2000. The goal is a good general perfusion and a balanced resuscitation, ensuring enough cerebral perfusion without disrupting nascent clots. She is in respiratory failure from bronchiolitis and likely viral sepsis.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Advanced Emergency Nursing from AENJ

JULY 9, 2015

ü With foresight, plan for your alternatives based upon what you have now , until the patient can be brought safely to conventional resuscitation room settings. Resuscitation, 56(1), 83-89. SGAs and some methods of intubation can be placed in the prone position. Beckham, J., & Cortes, V. Weinberg, G. Gürtner, I., McClusky, S.,

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

PulmCCM

FEBRUARY 17, 2025

Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. When a patient is failing to recover spontaneous circulation, the clinician in charge must decide whether and when to cease resuscitation efforts. This series will try to help with the last part: ending resuscitation efforts, knowing you did your best.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 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. Infectious Cunningham R et al. Ann Emerg Med.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

AUGUST 6, 2019

Jeff: For all agents, regardless of the DOAC, the initial resuscitation follows the standard principles of hemorrhage control and trauma resuscitation. It may be given as a part of of a balanced massive transfusion resuscitation, but otherwise, at this time, there doesn’t seem to be a clear role. should all be used as needed.

Emergency Department 40

Emergency Department Stroke Wellness Resuscitation 40

EMDocs

OCTOBER 5, 2024

Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed. 2000; 6:460–3. Instead, non-susceptibility to Ceftriaxone is often used as a proxy. mcg/kg/min and titrated to MAP >65).

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

EMDocs

JUNE 3, 2023

5 Initial Evaluation The key to the initial resuscitation of the unstable pelvic trauma patient is to rapidly identify and treat the most life-threatening pathology. 13 Massive transfusion protocols (MTP) are hallmarks of trauma resuscitation, and they are critical to the unstable pelvic fracture patient.

Fractures 64

Fractures Resuscitation Operations EMS 64

Pediatric Emergency Playbook

JANUARY 1, 2017

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). 2000 Aug;106(2 Pt 1):351-7. 2000; 1(4):260-269. The neonate (birth to one month of age) has not yet acquired social expression of pain, and his nascent nervous system is only now learning to process it. Do not expect typical pain behaviors in neonates.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EB Medicine

JANUARY 2, 2019

Nachi: All unstable patients or those with suspected or proven ectopic or heterotopic pregnancies should be immediately resuscitated and taken for surgical intervention. The next treatment to discuss is that for pregnancy of an unknown location and ectopic pregnancies. Another 2017 multicenter randomized trial found similar results.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

PulmCCM

MAY 22, 2023

Read in NEJM Fluid resuscitation and vasopressors are both usually needed in septic shock , but the ideal volume of fluid to infuse before starting vasopressors has been unclear. At least one expert questioned whether the study was adequately powered. In an NHLBI-sponsored trial enrolling 1563 patients at 60 U.S.

Fluid Resuscitation 86

Fluid Resuscitation Resuscitation Hospitals Sepsis 86

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

PEMBlog

FEBRUARY 22, 2024

2000 Jun;34(6):434-7. Infants may need resuscitation with blood products if they’ve lost more than 20 percent of their blood volume. @PEMTweets on… sigh “X” (Twitter) My Instagram My Mastodon account @bradsobo Listen [link] Subscribe References American Academy of Pediatrics, Committee on Fetus and Newborn.

Pediatrics 72

Pediatrics Anaphylaxis Administration Wellness 72

Broome Docs

DECEMBER 22, 2024

2000 Aug;31(2):513-8. Epub 2000 Sep 14. As a follow up, we have the TRAIN trial, which is another open-label multicenter RCT comparing liberal to conservative transfusion strategies in brain injury. Full post here. Skepticism: a lost clinical art. DiNubile MJ. Skepticism: a lost clinical art. Clin Infect Dis. doi: 10.1086/313945.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

The only other processes identified that caused this type of postinfarction T wave evolution were cardiopulmonary resuscitation, reinfarction, and very small infarcts. Incidence and Prognosis of Pericarditis After ST-Elevation Myocardial Infarction (from the Acute Coronary Syndrome Israeli Survey 2000 to 2013 Registry Database).

EKG/ECG 89

EKG/ECG Shock COPD Wellness 89

EMDocs

MARCH 11, 2024

Rehydration therapy for patients with cholera should include volume resuscitation and electrolyte repletion. Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able. Trop Med Infect Dis. 2023;8(3):169. Kirk M, ed.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111