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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. This is referred to as CPR I nduced C onsciousness ( CPRIC ). Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | What are the only exceptions? DOI: 10.1097/PEC.0b013e3182713316

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Episode 28: LOST

PHEM Cast

2012; 73: 102-10. Use of CPR in hemorrhagic shock, a dog model. Critical Care; 2012. Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. Closed chest compressions reduce survival in a model of haemorrhagic-induced traumatic cardiac arrest.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). JAMA 2012 and Cournoyer et al. 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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SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind?

The Skeptics' Guide to EM

A systematic review by the authors of the present study confirmed a possible benefit of the pan scan, but it showed a need for a well-designed, large, prospective randomized clinical trial with patient oriented outcomes ( Sierink et al 2012 ). Reference: Sierink et al.

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules.

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How a defibrillator can save lives in public spaces and beyond

AED Leader

In sudden cardiac arrest cases, this device steps in where CPR alone can’t do the job. S-ICDs received FDA approval in 2012 and have improved implantation techniques for shorter procedural times and better cosmetic outcomes. Think of it as a reset button for your heart’s rhythm. That’s pretty remarkable, right?

Shock 52
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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Low risk BRUE: Age >60 days Gestational age >32/40 Post conceptual age >45 weeks First episode No CPR given (by a trained medical provider) No concerning history or examination findings (eg FHx sudden cardiac death) Where the above features are present then investigation and hospital stay can be limited.

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