PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Crit Care Med 2005; 33: 1276 –1280 6. Gelmann, D.,

Shock 59

Shock Resuscitation Ultrasounds Research 59

EMDocs

DECEMBER 6, 2024

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

Ken Grauer, MD

SEPTEMBER 21, 2024

He could not be resuscitated. To quote Dr. Stephen Smith: "The worst risk factor for a bad outcome in acute MI is young age." Unfortunately — the cardiologist at that center did not recognize the abnormal ECG findings. The patient was discharged without repeating the ECG. The patient arrested outside the hospital.

EKG/ECG 298

EKG/ECG Resuscitation Outcomes Hospitals 298

Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2005 May;146(5):688-92. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. The mortality rate for cerebral edema is 21%–24%.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Emergency Medicine Journal

OCTOBER 26, 2023

Methods We investigated four 18-month periods between 2005 and 2018. The first period was considered baseline and included patients from the randomised controlled trial ‘DEFI 2005’ The three following periods were based on the Paris Sudden Death Expertise Center Registry (France).

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

RebelEM

MAY 15, 2024

Eur J Haematol 2005; 75:1. 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. September 30, 2005. Give appropriate fluids, vasopressors, and antibiotics.

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

EMDocs

DECEMBER 16, 2023

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.

Hyperthermia / Hypothermia 93

Hyperthermia / Hypothermia EMS Stroke Seizures 93

Dr. Smith's ECG Blog

APRIL 8, 2016

After resuscitation, he was found to have a 90% thrombotic lesion in the same saphenous vein graft to the right posterior descending artery. The patient stabilized and had a good outcome. I saw this 30 year old woman with no cardiac disease who was resuscitated from ventricular fibrillation : Classic Hypokalemia, with large U-waves.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2% mortality rate and 43.5%

Basic Life Support 52

Basic Life Support EMS Outcomes 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. (J. 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 Shock 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

EMDocs

MARCH 6, 2024

In other patients who are stable and the bleeding has resolved, CTA is of low yield If they are critically ill and have severe bleeding, resuscitate first and consult IR, radiology, and surgery. There is no clear improvement with idarizucimab or andexanet alfa on patient-oriented outcomes. 2005 Jun 1;21(11):1281-98.

Blood Transfusions 105

Blood Transfusions Outcomes Resuscitation Radiology 105

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

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