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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” Mar 2004; PMID: 15090949. lactate-targeted fluid resuscitation on regional, microcirculatory and hypoxia-related perfusion parameters in septic shock: a randomized controlled trial. J Clin Med. Mar 2023; PMID: 36983218 Feissel M, et al.

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Peri-Intubation Hypotension – Dose Induction Dose Matter?

RebelEM

This approach has been shown to benefit patients when agents like propofol and midazolam are used. ( Russotto 2022 , Choi 2004 ). There are many reasons for post-intubation hypotension including inadequate/incomplete resuscitation and ongoing hemorrhage. appeared first on REBEL EM - Emergency Medicine Blog.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2004 Feb;35(2):520-6. Epub 2004 Jan 15.

Stroke 99
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Intubation

PHEM Cast

2004 Aug;99(2):607-13, Hasegawa K et al. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. J Trauma 2003; 54:444-453 Mort TC. Anesth Analg.

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Episode 25: Tension pneumothorax 2

PHEM Cast

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!

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The Technologically Dependent Child in the ED

Pediatric Emergency Playbook

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? Hydrocephalus.

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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. She was defibrillated and resuscitated. Available from: [link] 4.

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