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52 in 52 – #41: The CENSER Trial

EMDocs

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4,

Sepsis 86
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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

2012 PMID: 21893125. Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins. Resuscitation. 9 Zhang W et al. Intravenous vs intraosseous adrenaline administration in cardiac arrest: A protocol for systematic review and meta-analysis.

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Episode 6: Oxygenation

PHEM Cast

Taken from Weingart & Levitan 2012. References Wilmalasena Y, Burns B, Reid C, Ware S., 2012; 59(3): 165-175. In this position the patient’s tragus is lined up with their sternal notch to make the airway as straight as possible. Annals of Emergency Medicine. 2015; 65(4): 371-376. Weingart SD, Levitan RM.

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Don’t Become Obsolete: The EM Physician’s Fight Against Procedural Decay

RebelEM

EMS radios in for a burn patient and to anticipate a difficult airway. The patient is horribly burned. She was smoking with her home O2 on and has severe mixed partial and full thickness burns to the chest, neck, face, and airway. INTRODUCTION You’re moonlighting in a remote access hospital. They’re rolling up now.

EMS 74
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The impact of gun violence and practical tips on firearm safety: A podcast

PEMBlog

Quinlan, Michele Burns Ewald, Beth E. Pediatrics November 2012; 130 (5): e1416–e1423. 2012-2481 Haasz, M., Garry Gardner, Kyran P. Ebel, Richard Lichenstein, Marlene D. Melzer-Lange, Joseph O’Neil, Wendy J. Pomerantz, Elizabeth C. Powell, Seth J. Scholer, Gary A. 10.1542/peds.2012-2481 Beidas, R.

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The Latest in Critical Care, 2/19/24 (Issue #30)

PulmCCM

More health care professionals are burned out or disengaged. Patients have become more complex, hospitalists’ workload frequently exceeds what they consider safe, and nonphysician providers are seeing more (and sicker) patients with no physician involvement. Nursing shortages mean fewer staffed beds and more patients per nurse.

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Raised inflammatory markers BMJ 2012; 344 :e454 doi:10.1136/bmj.e454 Gabay C, Kushner I. 2012 Jul 23;2(1):32. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD.