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Episode 15: Paediatric Trauma & How to Do Sim

PHEM Cast

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. Boet S, Bould MD, Layat Burn C, Reeves S. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. BMJ Quality & Safety. 2013; 22: 468-477.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Contraindications for USGIV are the same as for any PIV: overlying skin infection, AV fistula in the extremity, previous surgery impacting vasculature, proximal trauma, or burns.

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Episode 6: Oxygenation

PHEM Cast

References Wilmalasena Y, Burns B, Reid C, Ware S., 2010; Grant S, Khan F, Keijzers G, Shirran M, Marneros L. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. Annals of Emergency Medicine. 2014; 65(4): 349-355. Weingart SD. Emergency Medicine Australasia.

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The Latest in Critical Care, 2/19/24 (Issue #30)

PulmCCM

Panelists called this “low certainty evidence from five before-after studies that this intervention may be associated with lower mortality and fewer unsuccessful resuscitation events.” More health care professionals are burned out or disengaged. Well … no. ” But even that watered-down statement is unjustified.

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Vasopressor Nonresponse

Northwestern EM Blog

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock. 2010; 36: 2019-2029.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

Epub 2010 Oct 29. Resuscitate with volume and blood. In my experience, doing a neurologic exam is really difficult in the resuscitation area, especially when a patient is supine and has an immobilized c spine. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med. 2011 Aug;58(2):145-55.

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Proper Preparation for Mass Casualty Incidents

Northwestern EM Blog

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.