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The ‘Hidden C’

Don't Forget the Bubbles

A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. Exposure to incivility hinders clinical performance in a simulated operative crisis. 2011 Apr 1;78(2):202-9. They underestimated the impact of this exposure. Journal of nursing care quality.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6

CPR 52
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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). Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. Thieme; 2011.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR.

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Grand Rounds Recap 8.16.23

Taming the SRU

to divert the plane). Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival. 2015) reported a sensitivity of 98.9%

Sepsis 95
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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.