PHEM Cast

DECEMBER 12, 2016

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. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Taming the SRU

FEBRUARY 12, 2024

DISCUSSION Epidemiology and Background Rivaroxaban, along with other direct oral anticoagulants (DOACs), has become a mainstay of treatment for pro-thrombotic conditions since 2011. [1] This does not deviate from general resuscitation principles for acute hemorrhage. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation.

Administration 79

Administration Fractures Anaphylaxis Head Injuries 79

PHEM Cast

FEBRUARY 25, 2021

Tipton & Golden (2011). Resuscitation. Prognostication Better outcomes: Rescued and BLS commenced < 5-10 min Children Those who have not aspirated Water temperature < 10 o C, core body temperature 33-35 o C Neurologically intact on arrival at hospital Minimum blood pH > 7.1, New Engl J Med. 366: 2102–10. 82: 819-824.

Resuscitation 52

Resuscitation Hospitals Outcomes Wellness 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. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

EMDocs

DECEMBER 6, 2024

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Basic assessment: airway, breathing, circulation. Antiemetics as needed. Consider GI decontamination with whole bowel irrigation (WBI). Hosking CS.

Poisoning 88

Poisoning Fluid Resuscitation Seizures Resuscitation 88

RebelEM

SEPTEMBER 23, 2024

You decide to intubate the patient after resuscitation. However, it is well-established that even a single dose of etomidate can cause adrenal suppression ( Albert 2011 ). Clinical Scenario: A 48 year old man presents with fever, hypotension, hypoperfusion and hypoxemia. What Your Gut Says: It probably doesn’t make any difference.

EMS 65

EMS Outcomes Resuscitation Wellness 65

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

This basically means rapid access to ACLS type resuscitation skills (intubation and intravenous drug therapy). Resuscitation 2011 * Hagihara et al. We know that rapid application of electricity to defibrillate shockable arrhythmias save lives. JAMA 2009 * Jacobs et al.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). published in Resuscitation 2011. Case: A 51-year-old man experiences a cardiac arrest on the street. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation.

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Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

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. Those of us who were on shift at the time of the suicide attempted to resuscitate our colleague while still treating many other sick patients simultaneously.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

PHEM Cast

MAY 3, 2020

Where trained and equipped to use level 3 PPE, this may be used where it will not cause a delay commence resuscitation where this is indicated by local clinical guidance. From the Resuscitation Council: Click here for more from the Resus Council on COVID-19. 2011; 6(11): e27932. Lisa Casanova (a1), William A. Sobsey (a1).

PPE 52

PPE Airway Management Resuscitation Hospitals 52

EMDocs

JANUARY 25, 2025

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. 2011 Feb 15;52(4):e56-93. Approach to leukopenia in the ED should be focused on identifying the inciting etiology with emphasis on evaluation for infection, malignancy, and/or toxin/drug mediated effect.

EMS 80

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 80

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. Resuscitation Council UK. However, there has been continued debate on what ‘normal’ is in relation to HR and RR. What did previous studies show? and one in the US by Bonafide et al. Emerg Med J.

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Sepsis Pediatrics Urgent Care Emergency Department 98

PHEM Cast

APRIL 21, 2021

Resuscitation. 2011 Dec;82(12):1519-24. Epub 2011 Jul 2. Resuscitation. Breckwoldt J, Klemstein S, Brunne B, Schnitzer L, Mochmann HC, Arntz HR. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. doi: 10.1016/j.resuscitation.2011.06.028. 2011.06.028. PMID: 21749908.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

ETM Course

JUNE 17, 2015

Delaying urinary catheter insertion in the reception and resuscitation of blunt multitrauma and using a full bladder to tamponade pelvic bleeding. Injury 2011 Sep;42(9):913-6 We also cover the oft-misunderstood procedure of retrograde urethrogram (RUG). This is a great locally written article and I’d recommend you check it out!

Fractures 40

Fractures Emergency Department Resuscitation Research 40

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

Emergency Medicine Ireland

JUNE 10, 2024

Resuscitate and investigate as you would any sick patient. A follow up trial in 2011 by ICU steroid guru Djilalli Annane did not find a benefit. Intensive Care Medicine 37 , 486–492 (2011). Resuscitate and investigate as you would any sick patient. Expect a high lactate given the disruption of oxidative metabolism.

Poisoning 52

Poisoning EMS Burns Shock 52

PHEM Cast

SEPTEMBER 6, 2017

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. N Cardiopulmonary resuscitation: capnogram showing positive waveforms during each compression suggesting effective cardiac compression generating pulmonary blood.

CPR 52

CPR Resuscitation Operations Wellness 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

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. Nguyen, H. Steele, R., & Walters, E. de Boisblanc, B., & Suresh, M.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

ACEP Now

OCTOBER 9, 2024

However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation. Given his history, it could have been easy to attribute his current presentation to his known mental health conditions. Eur J Cardiothorac Surg. Burns E, Buttner R.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Outcomes 52

Don't Forget the Bubbles

MAY 6, 2024

The data was collected from a cohort from 2011- 2015 (nearly ten years ago). The mean time to randomisation was 2 hours, which excludes the initial resuscitation window. However, this study did not include the acute resuscitation period or non-ventilated children. Is this truly reflective of the current population?

Sepsis 75

Sepsis Outcomes Pediatrics Documentation/Coding 75

RebelEM

MARCH 13, 2023

Grasner 2011; Zwingmann 2012) Their data pools overlap considerably with previous studies; it would have been concerning if the data differed significantly. However, we might expect on-scene advanced trauma resuscitation to prolong prehospital time sizably. Cardiopulmonary resuscitation traumatic cardiac arrest—there are survivors.

Basic Life Support 52

Basic Life Support EMS Outcomes Resuscitation 52

PulmCCM

SEPTEMBER 9, 2021

Sylvia Plath Background Implicit in resuscitation is speed. Yet in 2011 a landmark randomized, controlled trial measured the effect that an intravenous bolus had on mortality in children with severe febrile illness in 3 African countries. Jon-Emile S. Arguably, this might be mitigated by slower volume administration. hypotension; c.]

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

Mind The Bleep

FEBRUARY 9, 2024

Because she would not be for intubation, they discuss resuscitation status because, naturally, care during- and post-arrest would involve airway support. They agree this patient should be for full resuscitation and any other organ support he may require. 2011 Dec;11(6):601-4. The patient and team agree to instate a u-DNACPR.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 2011; 2(1):70-72. 2011 Jan-Jun; 4(1): 81–83. 2011; 32:492-497. 2011; 552-555. 2011; 128(6):1-6 Munk K et al. The high-velocity object: coronary artery dissection or thrombus Direct trauma (e.g.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. 2011 Feb 15; Epub 2010 Aug 27. J Crit Care.

Emergency Department 52

Emergency Department Operations Documentation/Coding Academics 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

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. The median patient age was 8.2 years (IQR 2.5–14.2 years), with a slight male predominance (51.5% were male).

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Pediatric Emergency Playbook

NOVEMBER 1, 2015

We have a few minutes to optimize, to resuscitate before we intubate. The goal is a good general perfusion and a balanced resuscitation, ensuring enough cerebral perfusion without disrupting nascent clots. Caro et al in Annals in 2011 reported that the majority of patients undergoing RSI preserved their pupillary response.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

Pediatric Emergency Playbook

OCTOBER 1, 2016

Actively bleeding : radio-labeled red blood-cell scan (resuscitate and call your surgeons!) 2011 Mar;74(1):45-66. Not actively bleeding : technetium-99 pertechnate scintigram (Meckel’s scan). Pitfalls in the infant and young child Epistaxis; food-related misadventures Older Child and Adolescent Well appearing? Garcia-Tsao G, Bosch J.

Pediatrics 52

Pediatrics Wellness Shock Resuscitation 52

Pediatric EM Morsels

OCTOBER 27, 2023

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. This system has now become the “ industry standard.”

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

Pediatric Emergency Playbook

JUNE 1, 2016

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. 2011; Apr 26;123(16):1788-830. 2011; 39:450. Crit Care Med.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

PEMBlog

JUNE 5, 2024

Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. 2011 Aug;58(2):145-55. Resuscitate with volume and blood. MMWR Recomm Rep. 2012 Jan 13;61(RR-1):1-20. PMID: 22237112. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med.

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. Recovered projectiles are preferably handled with gloved fingers, rather than toothed forceps that may alter evidentiary striations. Gustafson, C.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. As with other cases of shock, initial fluid resuscitation may be considered. Heart 2011; 97 : 838-843 [link] 14. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

JULY 14, 2023

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 98

Resuscitation EKG/ECG CPR Outcomes 98

Ken Grauer, MD

JULY 29, 2023

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Figure-1: The initial ECG in today's case — obtained following resuscitation from cardiac arrest of an 18-year old woman. About A RVC/ A RVD.

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EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Ken Grauer, MD

MARCH 23, 2023

She underwent cardiopulmonary resuscitation for VT/VFib — with ROSC ( R eturn O f S pontaneous C irculation ) following defibrillation and treatment with Epinephrine and Amiodarone. A series of cardiac arrhythmias were seen during the course of her resuscitation — including the interesting arrhythmia shown in the long lead II of Figure-1.

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EKG/ECG Resuscitation Hospitals 195

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