Greater Sydney Area HEMS

FEBRUARY 20, 2024

It is currently the subject of future research and publication in the emergency department setting. 2011; 106 : 732–737. [iv] Right Brachiocephalic Vein Origin Access for the Resuscitation of Shocked Adult Trauma Patients. i] Leibowitz A, Oren-Grinberg A, Matyal R. iv] Breschan C, Graf G, Jost R et al. Green et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

Taming the SRU

FEBRUARY 12, 2024

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. N Engl J Med.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. Overall all-cause adult survival was 6.1%.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

The Skeptics' Guide to EM

JUNE 15, 2018

Implementation of a Novel Algorithm to Decrease Unnecessary Hospitalizations in Patients Presenting to a Community Emergency Department With Atrial Fibrillation. AEM June 2018 Guest Skeptic: Dr. Morgenstern is an emergency physician and the Director of Simulation Education at Markham Stouffville Hospital in Ontario.

Emergency Department 52

Emergency Department Fluid Resuscitation Sepsis Hospitals 52

The Skeptics' Guide to EM

JANUARY 9, 2021

Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. first appeared on The Skeptics Guide to Emergency Medicine. Case: During a busy emergency department (ED) shift the paramedic phone rings.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

Don't Forget the Bubbles

AUGUST 7, 2023

The controversy around what is ‘normal’ in infants’ and children’s vitals was demonstrated in a 2011 systematic review by Fleming et al. Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department. Acad Emerg Med. Emerg Med J. What is the problem?

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

ACEP Now

JANUARY 13, 2024

As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. As an emergency medicine resident, I have seen the toll that workplace violence is taking on our specialty, our patients, and our entire medical community.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

PHEM Cast

APRIL 10, 2016

It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EMDocs

JANUARY 4, 2024

Case Follow-up: The patient required a dose of lorazepam in the emergency department. 2011; 109: 418-422. Use of lipid emulsion in the resuscitation of a patient with prolonged cardiovascular collapse after overdose of bupropion and lamotrigine. She was admitted on a cardiac monitor with serial EKGs every four hours.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

ETM Course

JUNE 17, 2015

Joseph is a Consultant Emergency Physician with the inpatient Trauma Service and Emergency Department at the Alfred in Melbourne, and is also head of International Programs (South Asia) with the National Trauma Research Institute. Injury 2011 Sep;42(9):913-6 The diagnosis of acute urethral trauma.

Fractures 40

Fractures Emergency Department Resuscitation Research 40

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. 2011 Sep;15(2):211-40. A non-contrast head computed tomography (CT) demonstrates a diffuse hyperdensity consistent with subarachnoid hemorrhage (SAH). N Engl J Med.

Stroke 99

Stroke Outcomes EMS Seizures 99

Don't Forget the Bubbles

MAY 6, 2024

For a deep dive into intubation, see Intubation of the critically unwell Child in the emergency department – Don’t Forget the Bubbles (dontforgetthebubbles.com) For all things neonatal (lines and tubes), see Neonatal lines and tubes – Don’t Forget the Bubbles (dontforgetthebubbles.com) Why does it matter?

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

PHEM Cast

APRIL 21, 2021

Emergency tracheal intubation: complications associated with repeated laryngoscope attempts. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

Pediatric Emergency Playbook

AUGUST 1, 2017

One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Abdominal Surgical Emergencies in Children: A Relative Timeline General Advice Neonate (birth to one month) Necrotizing Enterocolitis Pneumatosis Intestinalis. 2011; 364(3):255-264.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Western Journal of Emergency Medicine, 12(4), 571. Western Journal of Emergency Medicine , Vol 15 Issue 6 has five articles related to pregnancy. Critical care medicine, 33(10), S259-S268. Preeclampsia/ Eclampsia - Emergency Department Resources. {3 abstracts} Luckett-Gatopoulos, S. Postpartum Emergencies.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Broome Docs

OCTOBER 31, 2022

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial. Emerg Med J. 2011 Dec 15;343:d7506. N Engl J Med.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

EMDocs

APRIL 22, 2024

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2011 Mar;123(16):1788-1830.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Am J Emerg Med. In this study, the Broselow tape had the best overall accuracy, with 50.7% (vs 30.88% for APLS 2011) of estimates occurring within 10% of measured weight and 80.0% (vs 55% for APLS 2011) estimates within 20% of measured weight. 2024 Aug;82:26-32. doi: 10.1016/j.ajem.2024.04.053. 2024.04.053. Epub 2024 May 3.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Pediatric Emergency Playbook

JUNE 1, 2016

Pulmonary embolism in the pediatric emergency department. for the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation; American Heart Association Council on Peripheral Vascular Disease; American Heart Association Council on Arteriosclerosis, Thrombosis and Vascular Biology.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

PEMBlog

JUNE 5, 2024

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Advanced Emergency Nursing from AENJ

NOVEMBER 20, 2014

It is not possible during acute resuscitation or at any time before a complete investigation, or even trial, to know who is innocent, guilty, or what occurred during the altercation. Ballistic injuries in the emergency department. Emergency medicine practice, 13(12), 1-30. Gustafson, C. G., & Visintainer, C.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

EMDocs

FEBRUARY 12, 2024

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.

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

Pediatric Emergency Playbook

APRIL 1, 2017

34 “The mother, or other trusted adult, places her mouth over the child’s open mouth, forming a firm seal as if about to perform mouth-to-mouth resuscitation. Am J Emerg Med. Emergency department management of foreign bodies of the external ear canal in children. Thieme; 2011. 2004;22(4):310-314. Am Fam Physician.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Taming the SRU

APRIL 26, 2023

Resuscitation 2020. Mil Med 2011. Evidence-Based Heatstroke Management in the Emergency Department. West J Emerg Med 2021. April 26, 2023) Acute Hyperthermia in the Emergency Department. First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

This is the fifth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. It was not a practical resuscitative aid until production could be commercially successful (~1895) and made portable in compressed form. Pulmotor is 1907. Beecher, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

RebelEM

MAY 15, 2024

Comparison of the MASCC and CISNE scores for identifying low-risk neutropenic fever patients: analysis of data from three emergency departments of cancer centers in three continents. 2011 Jun;153(6):773-9. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Ann Emerg Med.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

DECEMBER 16, 2023

An 18-month-old boy presents to the emergency department with loss of consciousness. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Resuscitation. , 148 , 173–190. Epstein, J.,

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EMDocs

OCTOBER 5, 2024

A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV).

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

Pediatric Emergency Playbook

JANUARY 1, 2017

neutropenia) ( Babl 2011 , Dokko 2014 ). You do not want to be caught in the position of potentially precipitously providing cardiopulmonary resuscitation in a child undergoing palliative care, because of a lack of understanding of how increasingly large doses of pain medications can affect breathing and circulation ( AAP 2000 ).

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

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.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Taming the SRU

MARCH 3, 2025

Because of this, emergency department (ED) physicians need to maintain a high index of suspicion for inhalation injury in the case of any exposure to smoke or fire, especially in closed or small space exposures. The number of fatal injuries from chemical inhalation is much lower than for fire exposure and smoke inhalation.

Burns 52

Burns Fluid Resuscitation Emergency Department Resuscitation 52