PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Pleural decompression and drainage during trauma reception and resuscitation. Initial Management and Resuscitation of Severe Chest Trauma. Note – again please do not use this location!

Academics 52

Academics Radiology Radiology Resuscitation 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. The Huber needle is not a resuscitative line. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths. Are you ready?

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 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. YouTube.com [Time=33’11” Presentation] EMS World. SGAs and some methods of intubation can be placed in the prone position. Smally, A.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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. 2002 Dec;141(6):793-7. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. The mortality rate for cerebral edema is 21%–24%.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. Resuscitation. , 148 , 173–190. Point of care glucose in the field was 102 mg/dL.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Anaesth Intensive Care 2002. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 vs 0.5% (Range 0.4 vs 0.5% (Range 0.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. Emerg Med Pract.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Let's look at the early expired air resuscitation adjuncts!

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Broome Docs

DECEMBER 22, 2024

PARAMEDIC 3 randomized 6,000 (but they were supposed to get to 15,000) patients with out of hospital arrest from multiple EMS agencies in the UK to either an IO or IV to start. 2018 Nov 22;379(21):2002-2014. You can find more details in the full blog post. Which is better in out of hospital cardiac arrest: IV or IO? of the IV group).

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation. Andrews et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Her rejoinder was “I didn’t think to blow through the nose, but, boy, did I blow between the teeth! ” The nose in Early Modern Expired Air Resuscitation: Early teaching in expired-air resuscitation was three-fold. Few people now remember that a strong early proposal in the move for expired air resuscitation was Mouth to Nose.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40