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ABG Versus VBG in the Emergency Department

EMDocs

Trauma surgeons have traditionally relied on ABGs to assess acid-base status for overall prognostication of trauma injury severity and to screen for occult injury or malperfusion, as this might alter management and aggressive resuscitation. Int J Emerg Med. Eur J Emerg Med. 2023 Mar 10;16(1):18. doi: 10.1186/s12245-023-00486-0.

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The Broselow-Luten System

Pediatric EM Morsels

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. Reduces dosing errors during resus, up to 33.88%.

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

The Skeptics' Guide to EM

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Reference: Cashen K, Reeder RW, Ahmed T, et al.

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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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Episode 15: Paediatric Trauma & How to Do Sim

PHEM Cast

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. BMJ Quality & Safety. 2013; 22: 468-477.

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ToxCard: Diethylene Glycol

EMDocs

2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. 2,10 Initial stabilization of DEG toxicity includes correcting acid-base abnormalities, electrolyte abnormalities, and volume resuscitation. 1, 2010, pp.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She arrives in the emergency department agitated and unable to answer questions appropriately. This does not deviate from general resuscitation principles for acute hemorrhage. May 2; 19(1): 19.