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Episode 14: Thoracotomy

PHEM Cast

Resuscitation; 2011: 1194-1197 pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. Guidelines for withholding or termination of resuscitation in prehospital cardiopulmonary arrest.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

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POCUS in the ED: Is Confirmatory RUQ US Still Necessary?

RebelEM

Similarly, surgeons might hesitate to operate on older patients with multiple comorbidities due to higher associated risks. Moreover, surgeons may seek “official” documentation in a patient’s chart before surgery. 2011 Mar;18(3):227-35. Acad Emerg Med. PMID: 21401784.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. 2011 Feb 15; Epub 2010 Aug 27. PMID: 19325480 Gajic O, et al.

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MI in Children

Pediatric Emergency Playbook

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. Fontan Operation and the Single Ventricle. Myocardial infarction in an adult resulting from coronary aneurysms previously documented in childhood after an acute episode of Kawasaki’s disease. Liu X et al.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. Gustafson, C.

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Carbon Dioxide As A Resuscitative Gas

Advanced Emergency Nursing from AENJ

This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. St John History Volume 10 (2010-2011) **Australian review of Sparklet Resuscitators and CO2 therapy. Select Bibliography: Fahey, D OStJ. Biographical Memoirs, V.