Dr. Smith's ECG Blog

AUGUST 9, 2024

below) Other examples of AIVR: Young man with Gunshot wound to right chest with hemorrhagic shock, but bullet path not near heart. In fact, use of antidyrhythimcs (e.g., In other words, it is a safe rhythm. Leave it alone. Bigger et al. Circulation , 63 (2), 333–340. link] Meine, T. Washam, J. Peacock, W. Pollack, C. Gibler, W.

EKG/ECG 107

EKG/ECG EMS Emergency Department Wellness 107

Pediatric Emergency Playbook

NOVEMBER 1, 2015

Etomidate is perfectly acceptable, but ketamine is actually a superior drug to etomidate in the rapid sequence intubation of children in septic shock. On the other side of the spectrum, permissive hypotension is not described in children, as hypotension is a late and dangerous sign of shock. We know it, we are comfortable with it.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

ACEP Now

JUNE 8, 2023

Categories of pneumonia have included CAP, hospital-acquired (HAP), ventilator-associated (VAP), and, beginning in 2005, health care-acquired (HCAP). Antibiotics For years, antibiotic selection has been largely dependent on the presumed location or source of the development of the pneumonia. 1 What do we do with conflicting recommendations?

Infectious Diseases 59

Infectious Diseases Administration Hospitals Shock 59

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr 2005; 146:787. J Pediatr Surg 2005; 40:197. 2005; 40:1848-1851. J Pediatr Gastroenterol Nutr 2008; 46:13. De Lorijn F, Reitsma JB, Voskuijl WP, et al. Diagnosis of Hirschsprung's disease: a prospective, comparative accuracy study of common tests. Hirschsprung's disease and mimicking conditions. Dig Dis 1994; 12:106.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Journal of Emergencies, Trauma and Shock, 3(1), 39. de Boisblanc, B., & Suresh, M. Airway problems in pregnancy. Critical care medicine, 33(10), S259-S268. M., & Healy, D. The unanticipated difficult intubation in obstetrics. The Journal of emergency medicine, 36(2), 141-147. An obstetric emergency called peripartum cardiomyopathy!

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Taming the SRU

AUGUST 30, 2023

2005 Nov;6(11):1045-56. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. 2005 Feb 15;53(1):33-8. PMID: 28778870; PMCID: PMC6071487. Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ. Acute phase reaction and acute phase proteins. J Zhejiang Univ Sci B. doi: 10.1631/jzus.2005.B1045.

Infectious Diseases 89

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

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. Abridged article published in February/March 2005 EM Resident.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. degrees Celsius. 5,6 In 2021, the TTM2 trial was published.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 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

Pediatric Emergency Playbook

OCTOBER 1, 2015

He is in compensated shock. Pediatr Nurs Nov 2005 Vol 31, No 6 Trachsel D, Hammer J. 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. Tracheostomy in children.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Dr. Smith's ECG Blog

APRIL 8, 2016

He appeared to be in shock. Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: Angio had shown some acute disease in the saphenous vein graft to the posterior descending artery off of the RCA.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

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’. 2005; 237(1):75-82. That may very well be true, but any virus can be invasive with myocardial involvement. Meningococcemia Presenting as a Myocardial Infarction.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

MAY 3, 2019

Based on 2005 data, the prevalence of 1 month MDD was 5% with a lifetime prevalence of major depression of 13%. Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4 Nachi: I think that’s good for definitions, let’s discuss some more epidemiology.

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

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

RebelEM

MAY 15, 2024

Eur J Haematol 2005; 75:1. September 30, 2005. Give appropriate fluids, vasopressors, and antibiotics. 2014 Aug 21;124(8):1251-8; quiz 1378. doi: 10.1182/blood-2014-02-482612. Epub 2014 May 28. Gorschlüter M, Mey U, Strehl J, et al. Neutropenic enterocolitis in adults: systematic analysis of evidence quality. Coding for Mucositis.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

DECEMBER 16, 2023

Heat stroke can lead to end-organ dysfunction such as rhabdomyolysis, disseminated intravascular coagulation, cardiogenic shock, liver failure, and cerebral edema. Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. 2005 Oct 5;9(5):R498-501. link] Boyer, E.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EMDocs

MARCH 6, 2024

shock index > 1, evidence of poor systemic perfusion). 2005 Jun 1;21(11):1281-98. CTA is not necessarily in all patients with LGIB. 2023 American College of Gastroenterology and British Society of Gastroenterology guidelines recommend CTA in patients with hemodynamically significant LGIB (e.g., N Engl J Med. 2017;376:1054-1063.

Blood Transfusions 105

Blood Transfusions Outcomes Resuscitation Radiology 105

Intensive Blog

FEBRUARY 9, 2023

2005, 2005/01/01/). Vasopressors such as noradrenaline are often required (systemic vasodilation is common in hepatic failure). Disability- treat hypoglycaemia if present. Supportive care and monitoring Prioritise short-acting agents, avoid medications that accumulate in hepatic failure Usually ICU measures (e.g. link] Berger, K.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EB Medicine

JANUARY 2, 2019

Jeff: And this recommendation comes from the 2005 IDSA guidelines. As we stated previously, asymptomatic bacteriuria should be treated. This is due to anatomical and physiologic changes which put these women at higher risk than non-pregnant women. Nachi: And this trial specifically examined the utility of nitrofurantoin.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

However, IgE-mediated or not, anaphylactic shock is possible in either case. AJR Am J Roentgenol 2005, 185 (3), 772-783. Am Fam Physician 2005, 72 (8), 1492-1500. IgE-mediated reactions to contrast do exist, but they are very rare. Emerg Radiol 2022, 29 (2), 291-298. DOI: 10.1007/s10140-021-02001-5 From NLM. (17) Fischer, S.;

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

JANUARY 20, 2025

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2015

The weight of the fetus upon the aorta and IVC, especially when supine, embarrasses return circulation, contributes to shock, and O 2 delivery to the fetus may be sluggish. Use the NODESAT technique. Monitor oximetry and capnography. Anesthesiology 2012;117(4):883-897. Algorithm for unanticipated difficult airway in obstetric patients.

Airway Management 40

Airway Management Resuscitation Critical Access Emergency Nursing 40

EMDocs

MARCH 11, 2024

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 18 Patients with signs and symptoms of severe dehydration or shock, including stupor, coma, uncontrollable vomiting, extreme fatigue that prevents drinking, and unstable vital signs should receive IV fluid resuscitation.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75