Remove 2009 Remove Shock Remove Ultrasounds
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Grand Rounds Recap 5.22.24

Taming the SRU

CESAR Trial Published in 2009 Found that even those who didn’t get ECMO, but were transported to a tertiary care center had better outcomes No matter where you go, critical care transport will be part of your life as a sending physician, receiving physician, or both. This shows that we are sometimes limited by the data that we have.

Shock 89
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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. Int J Emerg Med 2009 PMID: 20157465 4. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. minutes CVC group.

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Diagnostics and Therapeutics: Arterial Lines and Invasive Blood Pressure Monitoring

Taming the SRU

A recent observational study was performed to pragmatically assess clinically meaningful differences in BP in a diverse critically ill cohort with shock. In general, radial artery readings in patients with shock likely underestimate central pressure which can lead to increasing vasopressor dosing. Cite As: Snyder, B. Broadstock, A.

Shock 59
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The CLOVERS Trial

Taming the SRU

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. Each subsequent one-hour delay in antimicrobial administration increases mortality by 35% in patients with septic shock (Im, Kang et al.

Sepsis 52
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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

VF/asystole), a pulse cannot be identified via Doppler ultrasound for a full minute, or if lack of organized cardiac activity is confirmed on bedside echocardiogram. This is a good time to utilize an arterial line or use the ultrasound to find a central pulse. Published 2009 Jun 10. The management of accidental hypothermia.

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Emergencies of the Third Trimester

Advanced Emergency Nursing from AENJ

Keep your ultrasound handy. Journal of Emergencies, Trauma and Shock, 3(1), 39. 2009) Trauma in the Obstetrical Patient. Here, then, are some links for Third Trimester Emergencies. Verify your own laws and protocols for your practice before instituting change. 2014) Emergency Care Institute, New South Wales. Stafford, I.

OB/GYN 40
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Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

Case Continued 2 days later the patient became increasingly tachycardic, hypotensive, ashen, clammy (in cardiogenic shock) and had a new murmur. Rupture can be either free wall rupture (causing tamonade) or septal rupture, causing ventricular septal defect with left to right flow and resulting pulmonary edema and shock. Apr 28, 2009.

EKG/ECG 52