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ToxCard: Benzonatate

EMDocs

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

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SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

Case: A 6-month-old boy presents to the emergency department (ED) with three days of worsening cough, cold symptoms, and fever. Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. J Emerg Med. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Ann Emerg Med. Clin Pract Cases Emerg Med.

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Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. We studied this and published the abstract below in 2010. Chicago November 2010. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes. Circulation 122:Abstract 101. Results: Over 8.5

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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. 1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). Circulation. 2014;129(3):e28-e292.

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Foreign Bodies in the Head and Neck

Pediatric Emergency Playbook

Be ready to perform CPR. Children 1 year and up, unconscious – CPR: start CPR with chest compressions (do not perform a pulse check). Am J Emerg Med. Emergency department management of foreign bodies of the external ear canal in children. After 30 chest compressions, open the airway. Pediatrics. Pediatrics.

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The 76th Bubble Wrap

Don't Forget the Bubbles

Data was collected at 2 emergency departments in America and included assessment by both clinicians and patients for a total of 31 patients. The device was assessed by the clinicians (emergency medicine doctors) using it on ease of use, speed of use and the appearance of the closed wound. Why does it matter?