PHEM Cast

JULY 14, 2016

2003 Dec 25;349(26):2510–8. Journal of Emergencies, Trauma, and Shock. References Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. Oteir AO, Smith K, Stoelwinder JU, Middleton J, Jennings PA. A systematic review.

Fractures 52

Fractures Hospitals Shock Research 52

Taming the SRU

AUGUST 30, 2023

2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Serological reactions in pneumonia with non-protein somatic fraction of pneumococcus. J Clin Invest. C Reactive Protein.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

PHEM Cast

SEPTEMBER 6, 2017

You can also see when your treatment is working- if you give a patient in septic shock some fluid and improve their CO, you’ll see a rise in ETC02 You can confirm adequacy of respiratory function in the fitting or post-ictal patient when all other methods fail PITFALLS Device failure- lines blocking, batteries running out, pump failure.

CPR 52

CPR Resuscitation Operations Shock 52

Dr. Smith's ECG Blog

MARCH 15, 2023

We designed a step-up protocol in which shocks at 50, 100, 200, 300, and 360 J were used for transthoracic cardioversion. Ballatore et al — Medicina (Kaunas) 55(8): 497, 2019 — and — Page et al — Circulation 107:1141-1145, 2003 ). An estimated 10-to-40% of all patients with AFib do not have symptoms associated with this arrhythmia.

EKG/ECG 52

EKG/ECG Dehydration Stroke Shock 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

He is in compensated shock. Clin Chest Med 24 (2003) 473– 487 The Huber needle is not a resuscitative line. Obtain proper access to give fluids -- do not rely on the port-a-cath. Vascular devices are notoriously troublesome. In the European Respiratory Journal, Munck et al. Pediatr Nurs Nov 2005 Vol 31, No 6 Trachsel D, Hammer J.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Pediatric Emergency Playbook

JUNE 1, 2017

The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. 2003; 18(2):150-151. That may very well be true, but any virus can be invasive with myocardial involvement. DOI: 10.5772/56177. Toxins De Chadarévian JP et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EMDocs

FEBRUARY 12, 2024

First, there can be a poor correlation between venous and arterial gases in states of shock, hemodynamic instability, or extremes of acid-base disturbances, due to poor cardiac output/circulatory failure impairing venous and arterial flow, with associated poor gas exchange as well as hypercapnia and acidemia at the tissue level (8).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

EMDocs

JULY 15, 2023

However, it must be considered in toxic-appearing patients, those with prosthetic heart valves, artificial joints, or immunocompromised states Clinicians must keep a broad differential and consider other conditions such as necrotizing fasciitis, clostridial myonecrosis, compartment syndrome, toxic shock syndrome, etc. pneumoniae , S.

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

Pediatric Emergency Playbook

JANUARY 1, 2017

Children have long suffered from an under-treatment of their pain, due both to our incomplete acknowledgement of their pain and our fear of treatment ( Howard 2003 ). Unexplained tachycardia may be the early signs of shock. 2003 Nov 12;290(18):2464-9. 2003 Jan;90(1):5-9. Horeczko T, Mahmoud MA. Curr Opin Anaesthesiol.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

RebelEM

DECEMBER 4, 2024

PMID: 25701296 The SGEM: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol) ALiEM: Atrial Fibrillation Rate Control in the ED: Calcium Channel Blockers or Beta Blockers. JACC 2003; 41: 255-62. REBEL Core Cast 132.0 – Recent-Onset AFib Click here for Direct Download of the Podcast.

Emergency Department 83

Emergency Department Stroke EMS Shock 83

Don't Forget the Bubbles

JULY 5, 2023

Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. 2003; 5: 229–240. Patients with asplenia are at risk of infections by encapsulated organisms: Streptococcus pneumoniae , Haemophilus influenzae , Neisseria meningitidis and other bacteria such E.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

RebelEM

FEBRUARY 7, 2024

Sheridan (2003). Triple antibiotic coverage is recommended. Suggested regimens include: Ampicillin AND Gentamicin AND Clindamycin OR Metronidazole Update tetanus vaccination Usually requires dilation and curettage to remove any retained products of conception or foreign bodies. References: Abbrescia, K. PMID: 12962354 Apantaku, O.

Sepsis 91

Sepsis Shock Hospitals Ultrasounds 91