The Skeptics' Guide to EM

AUGUST 10, 2024

Background: In hemorrhagic stroke, the ABCs for resuscitation remain the same, but can also be categorized as: Airway Management: This is an important aspect for patients with a poor neurologic exam or those who are not protecting their airways. Reversal of Warfarin: Freeman et al. Reversal of Warfarin: Freeman et al.

Stroke 90

Stroke Airway Management Documentation/Coding Outcomes 90

ACEP Now

APRIL 9, 2025

” 1 A study by van Zwieten in 2004 found that 49 percent of deaths attributed to droperidol required dosages 50 mg, magnitudes greater than typical dosages used in the emergency department (ED). outcome of this is the removal of droperidol from the hospital formulary. The realistic (or preferred?)

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

RebelEM

MAY 15, 2024

Changing aetiology, clinical features, antimicrobial resistance, and outcomes of bloodstream infection in neutropenic cancer patients. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. Neutropenic Fever: Fever (one reading of 38.3C Give appropriate fluids, vasopressors, and antibiotics. 2014;14:162.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock. 2004; 139(11):1199-1203.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PHEM Cast

SEPTEMBER 6, 2017

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). O Capnogram showing rebreathing during inspiration.

CPR 52

CPR Resuscitation Operations Wellness 52

EMDocs

FEBRUARY 12, 2024

Trauma surgeons have traditionally relied on ABGs to assess acid-base status for overall prognostication of trauma injury severity and to screen for occult injury or malperfusion, as this might alter management and aggressive resuscitation. As previously noted, ABGs are not easily obtained (let alone in the critically ill trauma patient).

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

The Skeptics' Guide to EM

NOVEMBER 30, 2024

An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004. After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor.

Administration 100

Administration CPR Airway Management Outcomes 100

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

EMDocs

JUNE 27, 2024

2004 Jul;15(4):248-250. Intravenous fluid therapy and hospital outcomes for vaso-occlusive episodes in children, adolescents, and young adults with sickle cell disease. Factors associated with adverse outcome among children with sickle cell disease admitted to the pediatric intensive care unit: an observational cohort.

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97