EMDocs

JANUARY 11, 2025

If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. 2012 May-Jun;13(3):283-289. Disposition: Disposition is dependent on the severity of the presentation, but in most situations, admission is necessary. Korean J Radiol. link] Sacerdote, M.,

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EMDocs

AUGUST 17, 2023

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,

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Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

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PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

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PHEM Cast

FEBRUARY 25, 2021

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, References Szpilman D, Bierens JJ, Handley AJ, Orlowski JP (2012) Drowning. 82: 819-824.

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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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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).

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The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. 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.

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EMDocs

JULY 13, 2024

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge. Epub 2012 Mar 14.

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Pediatric Emergency Playbook

MARCH 1, 2017

2012 Aug;28(8):750-2. An update on out-of-hospital airway management practices in the United States. Resuscitation. 2012 Feb;114(2):349-68. Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation.

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Taming the SRU

MARCH 30, 2023

Background Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. The first, considered the “primary cohort”, included 337 patients with septic shock requiring vasopressor support in a single ICU from a hospital in Columbia, South America.

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PHEM Cast

FEBRUARY 23, 2017

Prehospital Blood Product Resuscitation for Trauma. Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR: Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. Weaver AE, Eshelby S, Norton J, Lockey DJ: The introduction of on-scene blood transfusion in a civilian physician-led pre-hospital trauma service.

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Pediatric Emergency Playbook

AUGUST 1, 2017

2012; 43(1):49-51. BMJ 2012; 345:e5521. 2012; 3:247-250. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. J Am Coll Surg. 2004; 199(4):628-635. Lee HC et al. Intestinal Malrotation and Catastrophic Volvulus in Infancy. J Emerg Med. Martin V, Shaw-Smith C. Review of genetic factors in intestinal malrotation.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Think about nutrition References The Royal Children’s Hospital Melbourne. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41.

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RebelEM

MARCH 13, 2023

Nevertheless, mortality of prehospital traumatic cardiac arrest (TCA), and survivability with good neurologic outcome, remain the gold standards of trauma care in and out of the hospital and are effectively the criterion by which we measure outcomes in the trauma literature. Discussion: Dead On Scene: The 96.2% mortality rate and 43.5%

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Northwestern EM Blog

SEPTEMBER 26, 2022

In this post, we will give a brief overview of a landmark study in the ED debrief literature, which advocates for a “hot” debrief model in resuscitation cases using the STOP5 model. Any team member of the resuscitation may lead the hot debrief. No potential resuscitation cases were formally excluded. References 1. Www.Heart.Org.

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EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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Downeast Emergency Medicine

APRIL 26, 2021

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. The primary outcome was head injury-related death in-hospital within 28 days of injury.

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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. PloS One 2012; 7. Conference Abstract.

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PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Resuscitation. The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Resuscitation. e2 Delson NJ et. Anesthesia and Analgesia, 2002; 94; S-123. Levitan RM et al.

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PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

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Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Still, except for the public hospital, other hospitals did little emergency work and would have unattended first aid or treatment room in which one could meet one's physician or have an intern provide care in the meanwhile. 1950s & 1960s Resuscitation Research. and professional commercial ambulances for private patients.

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Sensible Medicine

SEPTEMBER 29, 2023

Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. Resuscitation. 2012 05;9(5):1-13. [5] The recent rise of big data has propelled the pursuit of personalized medicine. 2014;85(5):587-94. [3] 3] Tang J, LeBel A, Jain S, Huth AG.

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Research Hospitals Academics Emergency Department 60

Pediatric Emergency Playbook

APRIL 1, 2016

2012; 33:1040–1045. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. 2012; 60(23): 2427-2463. Effectiveness of predicting in-hospital mortality in critically ill children by assessing blood lactate levels at admission. 2012; 19:1276–1280.

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Taming the SRU

FEBRUARY 19, 2024

One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Arterial lines require specialized monitoring and nursing resources which are not available in all hospital settings. of failed lines. Gelmann, D.,

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Pediatric Emergency Playbook

OCTOBER 1, 2016

Actively bleeding : radio-labeled red blood-cell scan (resuscitate and call your surgeons!) Otherwise, according to the Belgian guidelines , stable children may have endoscopy within the first 24 hours of hospitalization. 2012 Nov 9;2(1):46. 2012 Mar 14;307(10):1072-9. Miscellaneous Nasogastric tube? Crit Care Med.

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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. BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. 8, 2012 12:12 a.m. Accurate time entries are important to document. Tejwani, N.

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Taming the SRU

APRIL 10, 2023

HOSPITAL COURSE The patient was initially found to be hypotensive in the Emergency Department with a blood pressure of 87/58 mmHg. Patient remained hypotensive after fluid resuscitation and was admitted to the CVICU for management. Her oxygen requirement decreased throughout her hospitalization. Diagnostics WBC : 8.6

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Thinking Critical Care

MAY 18, 2023

This meant that we could dispatch two Shock Team members to any hospital in Scotland, to stabilise and if necessary bring shocked patients into WIG, any time of any day or night. I do not recall one experiment getting as far as the resuscitation stage. We Registrars were each On Call for two weeks, with one week off. 311:1137-43.

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Sensible Medicine

SEPTEMBER 29, 2023

Early warning scores are another example, which are used in hospitals to predict clinical deterioration based on a patient’s vital signs [2]. Resuscitation. 2012 05;9(5):1-13. [5] The recent rise of big data has propelled the pursuit of personalized medicine. 2014;85(5):587-94. [3] 3] Tang J, LeBel A, Jain S, Huth AG.

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PEMBlog

JUNE 5, 2024

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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Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

JUNE 1, 2016

Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Fluid balance and cardiac function in septic shock as predictors of hospital mortality. Crit Care Med. 2013; 41:580-637. Jaff MR et al. A prospective, randomized pilot study. Crit Care Med. 2011; 39:450. 2013; 17:R246.

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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.

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Resuscitation CPR Documentation/Coding Military 40

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St.

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EMDocs

OCTOBER 5, 2024

They are found primarily in hospital specimens but are increasing in frequency in samples from the community. 4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. IV fluid resuscitation as needed. Increased incidence is largely due to increasing community spread.

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ACEP Now

OCTOBER 30, 2023

28, 2012, the Emirates Society of Emergency Medicine (ESEM) was established by a group of emergency physicians who recognized the necessity for a unified body dedicated to the advancement of emergency medicine practice and research. The UAE government’s support took the country to another level and on Aug.

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The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

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Pediatric Emergency Playbook

JANUARY 1, 2017

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 ). Committee on Bioethics and Committee on Hospital Care. 2012 Jul;37(6):680-6. Knowing the context of the episode may help. Palliative care for children.

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