Don't Forget the Bubbles

NOVEMBER 29, 2023

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. This is referred to as CPR I nduced C onsciousness ( CPRIC ).

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

JUNE 4, 2017

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.

Radiology 52

Radiology Radiology CPR Hospitals 52

Don't Forget the Bubbles

JULY 26, 2023

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.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EB Medicine

MARCH 1, 2019

In one RCT, the FAST exam reduced the time from arrival in the ED to operative care by 64% in the setting of trauma. Nachi: This is all well and good, and certainly accurate, but let’s not forget that hemodynamically unstable trauma patients, like those with myocardial rupture, need to be in the operating room, not the CT scanner.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.

Airway Management 40

Airway Management Resuscitation EMS CPR 40