Pediatric Emergency Playbook

MARCH 1, 2016

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

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Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

He was resuscitated after fairly prolonged down time, but regained consciousness, though he was confused. We did a bedside cardiac ultrasound. The ECG and ultrasound could not have been differentiated from acute plaque rupture with occlusion of the RCA. This 80 year old with a history of CABG had a cardiac arrest.

EKG/ECG 52

EKG/ECG Ultrasounds Resuscitation Wellness 52

PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Initial Management and Resuscitation of Severe Chest Trauma. Ultrasound in Emergency Medicine. Wyrzykowski, A. Kirkpatrick, A. Nicholas, J. Salomone, J.

Academics 52

Academics Radiology Radiology Resuscitation 52

Taming the SRU

OCTOBER 1, 2023

Possibly more useful in trauma patients during e-FAST to determine presence or absence of PTX and less helpful in spontaneous PTX where management is partially based on size, which is difficult to quantify on ultrasound and may be falsely positive in the setting of emphysematous blebs. Resuscitation. Ann Emerg Med. 1983;12(6):411-412.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

RebelEM

JANUARY 25, 2023

2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 2010, (Ch) 92: p 1216-1227. Am Surg 2010; 76:687-691. Louis, Mosby, Inc., 0.27 – 0.83

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Keep your ultrasound handy. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. Geoff Jara-Almonte, MD and Hilary Fairbrother, MD // Editor: Alex Koyfman, MD Resuscitation of the Pregnant Trauma Patient – Pearls and Pitfalls www.emdocs.net 2/6/2015 Desjardins, G. de Boisblanc, B., & Suresh, M. Bisanzo, M.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Taming the SRU

FEBRUARY 19, 2024

One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Arterial or cuff pressure: clinical predictors among patients in shock in a critical care resuscitation unit. Cite As: Snyder, B. Broadstock, A.

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Shock Resuscitation Ultrasounds Research 59

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. Expert Review of Cardiovascular Therapy 2010; 8(12): 1723-9 PMID: 21108554 Santacruz CA, Pereira AJ, Celis E, Vincent JL. NEJM 2008; 358(9): 877 – 87.

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Shock Resuscitation Fluid Resuscitation Sepsis 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research. EDNA->ENA.

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Emergency Nursing EMS Resuscitation Military 40

Downeast Emergency Medicine

APRIL 26, 2021

The primary outcome was 30-day mortality with secondary outcomes looking at 24 hour in-hospital mortality, blood resuscitation at 6 and 24 hours, incidence of multiorgan failure, ARDS, nosocomial infection, early seizures, PE/DVT, crystalloid resuscitation after 24 hours, and the incidence of coagulopathy. Lancet 2010; 376:23-32.[

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Head Injuries Administration Outcomes Seizures 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Was there any prenatal care or ultrasound done? Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? Look for clitoromegaly in girls, or hyperpigmented scrotum in boys. ACEP/McGraw-Hill, 2013.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

Dr. Smith's ECG Blog

JULY 12, 2020

So I immediately left the room to get an ultrasound machine. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.

EKG/ECG 40

EKG/ECG Hospitals Ultrasounds Wellness 40

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. Cardiovasculr Ultrasound. 2010; 12(3): 3–8. 2010 Oct 1;33(10):821-42. The high-velocity object: coronary artery dissection or thrombus Direct trauma (e.g. Tomkewicz-Pajak L et al. 2014; 12:15. Varghese MJ et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JULY 8, 2019

Additionally, back in 2010, it was estimated that 6.6% Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. Nachi: If possible, obtain a view of the IVC also while doing your ultrasound to assess for volume status. Jeff: Next up is ultrasound. million adults!!

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Emergency Department Sepsis Operations Dehydration 40

EB Medicine

AUGUST 6, 2019

Nachi: However, in 2010, the FDA approved the first DOAC, a real game-changer. But next we should talk about ultrasound. Jeff: For all agents, regardless of the DOAC, the initial resuscitation follows the standard principles of hemorrhage control and trauma resuscitation. Jeff: And we’ll get to that in a few minutes.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

EB Medicine

SEPTEMBER 1, 2018

If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Jeff: I feel like we should get some entry music for every ultrasound reference because it seems to make its way into just about every episode. It’s an easy number to remember. 1-800-222-1222. Position statement) 10. Cumpston KL.

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Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Broome Docs

OCTOBER 28, 2023

Medical Journal of Australia, Dec 2010 vol 193 Med J Aust 2010; 193 (11): || doi: 10.5694/j.1326-5377.2010.tb04119.x Family presence during cardiopulmonary resuscitation. J Ultrasound Med. Fitzpatrick, S. Straight from the Crocodile’s Mouth. 1326-5377.2010.tb04119.x Prehospital Tranexamic Acid for Severe Trauma.

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Pediatric Emergency Playbook

JANUARY 1, 2017

Assessing and managing children’s pain can be challenging, because they may not exhibit typically recognized signs and symptoms ( Srouji 2010 ). The Baker-Wong FACES Pain Rating scale ( Figure 1 ) was developed with feedback from children and has been validated for use in those 3 years of age and older ( Keck 1996 , Tomlinson 2010 ).

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Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EB Medicine

JANUARY 2, 2019

So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound. Nachi: Definitely concerning, but this is all the more reason you need to employ our favorite imaging modality… the ultrasound. For a threatened abortion, the os would be closed with an IUP seen on ultrasound.

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Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation. Andrews et al.

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75