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

RebelEM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

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52 in 52 – #41: The CENSER Trial

EMDocs

Additionally, 80% of patients in the control group required open label NE use indicating that NE was going to be needed in most of these patients regardless of initial resuscitation method. I will continue to reach for pressors early in resuscitation of the septic shock patient. vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 86
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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. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. Annals of Emergency Medicine. 2015; 65(4): 371-376. Weingart SD, Levitan RM.

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

PulmCCM

Panelists called this “low certainty evidence from five before-after studies that this intervention may be associated with lower mortality and fewer unsuccessful resuscitation events.” More health care professionals are burned out or disengaged. ” But even that watered-down statement is unjustified.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

2012 Jan 13;61(RR-1):1-20. Resuscitate with volume and blood. In my experience, doing a neurologic exam is really difficult in the resuscitation area, especially when a patient is supine and has an immobilized c spine. MMWR Recomm Rep. PMID: 22237112. This is due to the loss of sympathetic output and vasodilatation.

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Pediatric Pain

Pediatric Emergency Playbook

For example, a very anxious caregiver can easily transmit his or her anxiety to the child, which may either inhibit or amplify presentation of symptoms ( Bearden 2012 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. 2012 Jul;37(6):680-6.

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IV fluids in the ED: When do we really need them?

EMDocs

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.