Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2001 Jan 25;344(4):264-9. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Lesson = treat early!

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Macroscopic T-Wave Alternans: A Red Flag for Code Blue. 2001 Nov 27;104(22):2722-7. J Am Coll Cardiol. 2006 Jan 17;47(2):269-81. doi: 10.1016/j.jacc.2005.08.066. 2005.08.066. Epub 2006 Jan 4. PMID: 16412847. Moore PK, Raffel KE, Whitman IR. JAMA Intern Med. 2017 Oct 1;177(10):1520-1522. doi: 10.1001/jamainternmed.2017.3191. 2017.3191.

EKG/ECG 134

EKG/ECG Documentation/Coding Psychiatric EMS 134

PHEM Cast

DECEMBER 12, 2016

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. 2001, 193 (3): 303-309.

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

EB Medicine

OCTOBER 1, 2018

Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Then in 2001, sepsis-2 was introduced. The CMS metrics are slightly different from the 2001 sepsis guidelines also. Patient’s need adequate fluid resuscitation. Jeff : Yes it has! vasopressin.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 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. But the range was broad: 25% were coded for less than 13 minutes, and 25% for more than 30 minutes.

CPR 71

CPR Hospitals Resuscitation Documentation/Coding 71

Advanced Emergency Nursing from AENJ

JULY 9, 2015

Pull out the manikins (or use a volunteer; BVM only) and run some awkward codes! 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. How versatile are your airway skills? McClusky, S.,

Airway Management 40

Airway Management Pediatrics Resuscitation Documentation/Coding 40

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). In contrast, ABG and pH alone are not reliable in determining the clinical futility of resuscitation after major trauma. (14,

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98