EMDocs

JANUARY 4, 2024

Cardiogenic shock and hypotension can occur (systolic heart failure with reduced ejection fraction.) 10,12 Refractory shock or malignant arrhythmias occur in < 5% of patients. Epub 2007 Sep 4. Cardiotoxicity: Overdose can cause prolonged QRS and QTc intervals. Ann Emerg Med. 2008 Apr;51(4):412-5, 415.e1. 2007.06.004.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

Pediatric Emergency Playbook

AUGUST 1, 2020

Pediatr Rev 2007; 28:249. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. Jardine DS. Heat illness and heat stroke.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Stroke Burns Pediatrics 52

Northwestern EM Blog

JANUARY 24, 2022

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PHEM Cast

JULY 14, 2016

2007 Aug 1;:1–18. Journal of Emergencies, Trauma, and Shock. 2007 Jul 1;24(7):501–3. Emergency Medicine Journal. 2013 May 13;30(6):516–6. Crane T, Cooke MW, Wellings R, Wayte S, Higgins J. MRI study of effectiveness of cervical spine immobilisation- a pilot study. The University of Warwick. Hauswald M, Ong G, Tandberg D, Omar Z.

Fractures 52

Fractures Hospitals Shock Research 52

Don't Forget the Bubbles

JULY 26, 2023

For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. Typical features include: HR >220bpm Narrow complex regular tachycardia P waves difficult to identify In this case there is no shock present so we can proceed to the right branch of the ALSG guideline.

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EKG/ECG Hospitals Shock Documentation/Coding 98

Greater Sydney Area HEMS

APRIL 26, 2023

In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). . Lee C, Porter KM (2007) Suspension trauma. Nope they’re different. Organ failure from rhabdo? Wilderness Environ Med. Merchant D.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Mind The Bleep

JULY 15, 2023

Reidy K, 2007) Membranoproliferative glomerulonephritis (MPGN) accounts for 6% of cases of nephrotic syndrome in children. If a child presents acutely unwell with nephrotic syndrome they are likely to be in hypovalaemic shock, have an infection, or both. Fronteirs in Immunology. Moroni G, P. Secondary Membranous Nephropathy.

Allergic Reactions 52

Allergic Reactions Shock Hospitals Wellness 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2007; 16:27-33. 2007; 298(4):438-451. 2007; 25:1009-1040. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. J Pediatr Surg 2014; 49:1619. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg. Dias SC et al.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Mind The Bleep

AUGUST 5, 2023

Complications Short bowel syndrome (following significant resection, and more common following removal of the ileocaecal valve) Intestinal stricture Sepsis / shock DIC Intestinal perforation Mortality (1, 3) References Ginglen JG, Butki N. Necrotizing Enterocolitis. Updated 2022 Aug 8]. In: StatPearls [Internet]. Pneumoperitoneum.

Sepsis 52

Sepsis Ultrasounds Radiology Radiology 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

He is in compensated shock. Gastroenterol Clin N Am 36 (2007) 123-144l Feinberg A et al. January 17, 2007. Anesthesiology 2007; 106:164–77 Marks JH. 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.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

ACEP Now

SEPTEMBER 13, 2023

This funding expanded the committee’s work to include three reports: Hospital Based Emergency Care – at the Breaking Point ; Emergency Medical Services – at the Crossroads ; and Emergency Care for Children – Growing Pains ,” all released in 2007. Prescott, MD, another member of the committee. “We National Academics.

EMS 45

EMS Research Academics Military 45

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Journal of Emergencies, Trauma and Shock, 3(1), 39. 2014) Medscape.com Sullivan, MG (2007) Time Is Critical for Success in Perimortem C-Section ACEP News. Emergency department evaluation and management of peripartum cardiomyopathy. The Journal of emergency medicine, 36(2), 141-147. Capriola, M. Peripartum cardiomyopathy: a review.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Pediatric Emergency Playbook

MAY 1, 2017

He will be dehydrated – possibly in shock. 2007 Nov;25(4):1117-35, vii. My take away: we now have some evidence basis for using filtered sunlight as an adjunct for babies well enough to go home. Critical Care Although rare, the critically ill neonate with hyperbilirubinemia requires immediate intervention. He will be irritable.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 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’. 2007; 2:2-11. 2007; 5(3):172-176. That may very well be true, but any virus can be invasive with myocardial involvement. Congenit Heart Dis. Clin Med Res.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JUNE 6, 2019

Nachi: Moving on to blood pressure: frank hypotension should make you immediately think of a ruptured AAA or septic shock 2/2 an intra abd infection. You can also use the shock index, which as a reminder is simply the HR/SBP. The greatest value of a lactate level is to detect occult shock and sepsis. In one study, a SI > 0.7

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

MAY 3, 2019

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 Mental health and substance abuse-related emergency department visits among adults, 2007: statistical brief #92. billion per year in the US. deaths per year per 100,000 individuals.

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).

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Emergency Department Resuscitation COPD Shock 98

EMDocs

JULY 17, 2023

Measures to optimize the patient for surgical intervention and treat shock, including antibiotics and fluid resuscitation, are associated with improved outcomes in these patients. However, surgical consultation should not be delayed while waiting for imaging in a patient who is in shock, appears toxic, or has signs of peritonitis. -In

Operations 98

Operations EMS Fluid Resuscitation Resuscitation 98

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. link] Gaudio, & Grissom, C. Becker, S.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Don't Forget the Bubbles

DECEMBER 11, 2023

This is shocking, but they discovered a staggering dose-response model when they compared these results with medical histories. 2007) ‘Cumulative risk, maternal responsiveness, and allostatic load among young adolescents’, Development Psychology, 43(2), pp: 341-51. doi: [link] Evans, G. doi: [link] Krockow, E., Riviere, E.

Wellness 104

Wellness Research Outcomes Shock 104

Pediatric Emergency Playbook

JANUARY 1, 2017

Surgical pain is not “erased” by opioids ( Thomas 2003 , Poonai 2014 ); treating pain improves specificity to certain surgical emergencies with retained diagnostic accuracy ( Manterola 2007 ). Unexplained tachycardia may be the early signs of shock. 2007 Oct;54(5):645-72. Pain Res Manag. 2009 Jan-Feb;14(1):33-7.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Intensive Blog

FEBRUARY 9, 2023

2007, Mar). 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. .; Bellomo, R. 2014, Jan).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

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

RebelEM

FEBRUARY 7, 2024

Mulik (2007). Triple antibiotic coverage is recommended. Suggested regimens include: Ampicillin AND Gentamicin AND Clindamycin OR Metronidazole Update tetanus vaccination Usually requires dilation and curettage to remove any retained products of conception or foreign bodies. Sheridan (2003). PMID: 12962354 Apantaku, O.

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Sepsis Shock Hospitals Ultrasounds 102