2006 Outcomes Resuscitation 
Don't Forget the Bubbles
NOVEMBER 29, 2023
Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. Rocuronium ( a muscle relaxant ) alone was administered as he became combative.
EMDocs
JUNE 12, 2024
HypoCa is common in trauma patients and is associated with poor outcomes. Calcium and resuscitation Severely injured trauma patients are commonly hypocalcemic. Giancarelli et al found that 97% of patients who underwent massive transfusion protocols during trauma resuscitation were hypocalcemic (iCa < 1.1 Am J Emerg Med.
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PHEM Cast
DECEMBER 12, 2016
pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Injury; 2006 (37): 1-19.
Northwestern EM Blog
APRIL 15, 2024
“Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes.” 2006): 576-579. Tracheotomy outcomes and complications: a national perspective. As with any high stress situation in resuscitation, it helps to fall back onto our ABCs, airway being of principle importance here. Rajendram, R., J Laryngol Otol.
PHEM Cast
APRIL 16, 2018
It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.
Don't Forget the Bubbles
OCTOBER 7, 2024
Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Volume resuscitation in patients with high-voltage electrical injuries. Resuscitation.
PHEM Cast
APRIL 10, 2016
It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).
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