EMDocs

JANUARY 29, 2024

Case Resolution: In addition to standard measures for resuscitation, the patient is started on a nicardipine drip to target an SBP < 160 mmHg and neurosurgery is urgently consulted. 2002 May;33(5):1315-20. Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 101

Stroke Outcomes EMS Seizures 101

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

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. NEJM 1994. [2] NEJM 1994. [2]

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

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. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

EMDocs

MAY 15, 2024

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. Published January 2002.

Blood Transfusions 104

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 104

EMDocs

MAY 28, 2024

Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients. Published January 2002.

Blood Transfusions 98

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 98

PHEM Cast

MAY 3, 2020

whose review included 10 studies (5 case-control; 5 cohort), all of which investigated transmission of SARS from patients to healthcare workers in intensive care or other healthcare settings during the 2002-2003 SARS outbreaks. From the Resuscitation Council: Click here for more from the Resus Council on COVID-19.

PPE 52

PPE Airway Management Resuscitation Hospitals 52

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

ACEP Now

MARCH 14, 2024

Treatment for burns should focus on fluid resuscitation as appropriate based on your institution’s burn protocol per Brooke, Parkland, Rule of 10s etc. Dr. Koo is faculty and an emergency physician at MedStar Washington Hospital Center in Washington, D.C., Mary’s Hospital in Leonardtown, Maryland. Koumbourlis, Anastassios C.

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

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal pain pathways are particularly plastic; prompt assessment of and increased alertness to neonatal pain may help to mitigate long-lived pain sensitivity and hyperalgesia ( Taddio 2002 ). For many medications, these children will have a greater weight-normalized clearance than adults ( Berde 2002 ). 2002 Oct 3;347(14):1094-103.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Broome Docs

DECEMBER 22, 2024

This month we cover a few out-of-hospital arrest trials. A Randomized Trial of Drug Route in Out-of-Hospital Cardiac Arrest. Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest. Which is better in out of hospital cardiac arrest: IV or IO? 2018 Nov 22;379(21):2002-2014. N Engl J Med.

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