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Understanding Traumatic Dissociation in Cardiopulmonary Resuscitation

Emergency Live

Emotional Management During Resuscitation: A Crucial Aspect for Operators and Rescuers A Different Perspective on Cardiopulmonary Resuscitation Cardiopulmonary resuscitation (CPR) is a vital skill for emergency workers and lay rescuers.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2004 Jul;27(7):1541-6. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Lesson = treat early!

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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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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Crit Care 2004. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 vs 0.5% (Range 0.4 vs 0.5% (Range 0.4 Crit Care Med 2023.

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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. Paper: Driver BE et al.

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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

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.

Stroke 90
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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

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. 2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7. Epub 2004 Apr 29. Castillo J, et al. doi: 10.1161/01.STR.0000109769.22917.B0.

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