Dr. Smith's ECG Blog

OCTOBER 23, 2023

2006 Jan 17;47(2):269-81. Epub 2006 Jan 4. Pacing Clin Electrophysiol. 2007 Oct;30(10):1267-72. doi: 10.1111/j.1540-8159.2007.00849.x. 1540-8159.2007.00849.x. PMID: 17897130. Narayan SM. T-wave alternans and the susceptibility to ventricular arrhythmias. J Am Coll Cardiol. doi: 10.1016/j.jacc.2005.08.066. 2005.08.066. PMID: 16412847.

EKG/ECG 123

EKG/ECG Documentation/Coding Psychiatric EMS 123

Taming the SRU

JULY 2, 2023

Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." 2006): e1170-e1178. Pediatric emergency care 12.4 1996): 249-251. Neumar, Robert W., Circulation 132.18_suppl_2 (2015): S315-S367. Waugh, Jonathan B., Epps, and Yulia A. 2014): 247-258.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

EMDocs

JUNE 27, 2024

2006 Jul;134(1):109-15. 2006 Dec 13;2(91):2852-7. -smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4 C or 100.4

Pediatrics 76

Pediatrics Dehydration EMS Hospitals 76

PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2006; 47(6):548-555 Lewis SR, Butler AR, Parker J, Cook TM, Smith AF. Resuscitation. Resuscitation. Laryngeal View During Laryngoscopy: A Randomized Trial Comparing Cricoid Pressure, Backward-Upward-Rightward Pressure, and Bimanual Laryngoscopy. Cochrane Database of Systematic Reviews 2016, Issue 11.

Airway Management 52

Airway Management Resuscitation EMS Hospitals 52

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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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).

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Taming the SRU

JULY 24, 2023

Patients should be resuscitated as deemed appropriate. 2006 Dec 28;12(48):7832-6. Whereas most patients may appear toxic or have days of progressively worsening pain due to peritonitis, others may have prompt resolution of their pain due to local containment of a pericholecystic abscess. 1934 Jun;99(6):922-4. World J Gastroenterol.

Ultrasounds 78

Ultrasounds Sepsis Radiology Radiology 78

PHEM Cast

MARCH 17, 2016

Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. 2006: 30(1); 63-67. Von Goedecke A, Wenzel V, Hormann C, Voelckel WG, Wagner-Berger HG, Zecha-Stallinger A, Luger TJ, Keller C. Journal of Emergency Medicine.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

Sensible Medicine

SEPTEMBER 29, 2023

Resuscitation. 2006 Apr;332(7550):1127-9. Available from: [link] [2] Alam N, Hobbelink EL, van Tienhoven AJ, van de Ven PM, Jansma EP, Nanayakkara PW. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review. 2014;85(5):587-94. [3] 3] Tang J, LeBel A, Jain S, Huth AG. Nature Neuroscience.

Research 57

Research Hospitals Academics Emergency Department 57

The Injectable Orange

JUNE 20, 2017

Mental practice: a simple tool to enhance team-based trauma resuscitation. Rudolph, J; Simon, R; Dufresne, R; Raemer, D (2006) “There’s No Such Thing as Nonjudgmental Debriefing: A Theory and Method for Debriefing with Good Judgment” Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare., doi: 10.1017/cem.2015.4.

Head Injuries 52

Head Injuries Documentation/Coding Wellness Resuscitation 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2006; 26:1485-1500. 2006; 22:1021-1024. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. Kapfer SA, Rappold JF. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Let's look at the early expired air resuscitation adjuncts!

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

Sensible Medicine

SEPTEMBER 29, 2023

Resuscitation. 2006 Apr;332(7550):1127-9. Available from: [link] [2] Alam N, Hobbelink EL, van Tienhoven AJ, van de Ven PM, Jansma EP, Nanayakkara PW. The impact of the use of the Early Warning Score (EWS) on patient outcomes: a systematic review. 2014;85(5):587-94. [3] 3] Tang J, LeBel A, Jain S, Huth AG. Nature Neuroscience.

Research 40

Research Hospitals Academics Emergency Department 40

EMDocs

APRIL 22, 2024

During this resuscitation two different ultrasound machines were used to capture images due to a malfunction with the first machine after initial images were captured. 4, 2006, pp. Cardiac Thrombus Formation During Cardiopulmonary Resuscitation for Cardiac Arrest: Is It Time for Ultrasound-Enhanced Algorithms? Chest , vol.

Ultrasounds 82

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 82

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research. 10/20/2013.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

MARCH 31, 2023

Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction occurs in minutes Clinical Definition: Acute onset of illness with involvement of the skin, mucosal tissue or both + one of the following Respiratory compromise Reduced BP Or, acute onset of illness with at least (..)

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

2006; 53:69-84. Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. Pediatr Clin N Am. Cloherty JP, Eichenwald EC, Stark AR: Manual of Neonatal Care, 5th edition. Philadelphia, PA, Lipincott Williams & Wilkins, 2004. ACEP/McGraw-Hill, 2013. McGowan et al.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

Pediatric Emergency Playbook

APRIL 1, 2016

2006; 118(4): 1165-1168. 2006; 107(1)21-31. Early Lactate Elevations Following Resuscitation From Pediatric Cardiac Arrest Are Associated With Increased Mortality. Fried I, Bar-Oz B, Algur N et al. Pediatrics. Koch A, Singer H. Normal values of B type natriuretic peptide in infants, children, and adolescents. 2003;89:875–878.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

The Huber needle is not a resuscitative line. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths. Paediatric Resp Rev (2006) 7, 162–168 Wright SE,VanDahm K. He is in compensated shock. Obtain proper access to give fluids -- do not rely on the port-a-cath.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is not possible during acute resuscitation or at any time before a complete investigation, or even trial, to know who is innocent, guilty, or what occurred during the altercation. Recovered projectiles are preferably handled with gloved fingers, rather than toothed forceps that may alter evidentiary striations. Tejwani, N. Cristante, A.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

EB Medicine

SEPTEMBER 1, 2018

Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. Jeff: What a team! 1-800-222-1222.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 2006; 87:e168-e171. Harm Reduction Journal, 2006; 3(14):1-18. Author’s advice : obtain troponin testing if there is an abnormal ECG, more than fleeting suspicion of BCI, and/or the child will be admitted for monitoring.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

JANUARY 1, 2017

For example, for a simple forearm fracture, you may opt to give an oral opioid, perform a hematoma block, and offer inhaled nitrous oxide for reduction, rather than a formal intravenous procedural sedation ( Luhmann 2006 ). 2006 Oct;118(4):e1078-86. 2006 Mar;16(3):258-65. Luhmann JD, Schootman M, Luhmann SJ, Kennedy RM.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

RebelEM

MAY 15, 2024

2006 May 15;106(10):2258-66. Neutropenic Fever: Fever (one reading of 38.3C Give appropriate fluids, vasopressors, and antibiotics. Clin Infect Dis. 2004;39(Suppl. 1):S32–S37 Kuderer NM, Dale DC, Crawford J, Cosler LE, Lyman GH. Mortality, morbidity, and cost associated with febrile neutropenia in adult cancer patients.

Infectious Diseases 105

Infectious Diseases Administration Sepsis Anaphylaxis 105

EB Medicine

OCTOBER 1, 2018

And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. Patient’s need adequate fluid resuscitation. Just a reminder that a history of CHF doesn’t preclude proper fluid resuscitation.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

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 69

Hyperthermia / Hypothermia EMS Stroke Seizures 69

EMDocs

JANUARY 20, 2024

This patient’s recent diarrheal illness raises suspicion for hypovolemia, which would be treated with fluid resuscitation (D) , but her moist oral mucosa and dilated inferior vena cava suggest an eu- or hypervolemic state. 2006 Jul;27(13):1523-9. Additional fluids will not improve her condition and may worsen it. Accessed May 15, 2023.

EMS 75

EMS Fluid Resuscitation Shock EKG/ECG 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Her rejoinder was “I didn’t think to blow through the nose, but, boy, did I blow between the teeth! ” The nose in Early Modern Expired Air Resuscitation: Early teaching in expired-air resuscitation was three-fold. Few people now remember that a strong early proposal in the move for expired air resuscitation was Mouth to Nose.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40