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ABG Versus VBG in the Emergency Department

EMDocs

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,

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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; 2003 (1): 106-111.

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Intubation

PHEM Cast

Guidance documents College of Paramedics Statement on Intubation, available here. J Trauma 2003; 54:444-453 Mort TC. Resuscitation. Resuscitation. AAGBI Safer Prehospital Anaesthesia 2017, available here. Tracheal intubation. Anaesthesia & Intensive Care Medicine. 20(12);681-686. Anesth Analg. 2011 Dec;82(12):1519-24.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event.

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Assume the position … ??Awkward Airway Positions

Advanced Emergency Nursing from AENJ

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.,

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Carbon Dioxide As A Resuscitative Gas

Advanced Emergency Nursing from AENJ

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

EKG/ECG 52