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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ETM Course

JUNE 28, 2015

Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Survival of severe blunt trauma patients treated with resuscitative endovascular balloon occlusion of the aorta compared with propensity score-adjusted untreated patients. Here’s some references. Martinelli et al. White et al.

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Pediatric Emergency Playbook

MARCH 1, 2017

2012 Aug;28(8):750-2. 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. 2012 Feb;22(2):156-60. Pediatr Emerg Care. Carlson JN, Mayrose J, Wang HE.

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Airway Management Pediatrics Resuscitation Hospitals 52

EMDocs

JULY 13, 2024

2012 May;27(5):1368-74. Epub 2012 Mar 14. Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David. “Endometritis” Encyclopedia Britannica, 6 Feb.

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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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

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PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Initial Management and Resuscitation of Severe Chest Trauma. Emergency Medicine Journal , 22 (11), 788–789. link] Fitzgerald, M., Mackenzie, C. Marasco, S., Hoyle, R., & Kossmann, T. Injury , 39 (1), 9–20. link] Givens, M. Ayotte, K., & Manifold, C.

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PHEM Cast

JUNE 6, 2016

Resuscitation Council UK. 2012; 109: 950-956. Parry R, Asmussen T, Smith JE. Perimortem caesarean section. 2016; 33: 224-229. Clark SL, Cotton DB, Pivarnik JM et al. Position change and central hemodynamic profile during normal third trimester pregnancy and post partum. Lee SWY, Khaw KS, Kee WN, Leung TY, Critchley LAH.

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PHEM Cast

MARCH 17, 2016

Taken from Weingart & Levitan 2012. 2012; 59(3): 165-175. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. In this position the patient’s tragus is lined up with their sternal notch to make the airway as straight as possible. 2015; 65(4): 371-376.

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Airway Management Burns Emergency Department Resuscitation 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

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. published in Resuscitation 2011. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked. JAMA 2009, Hagihara et al.

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The Skeptics' Guide to EM

JUNE 24, 2017

They arrive quickly and take over the resuscitation. Two relatively small randomized control trials published in the NEJM showed that hypothermia post cardiac arrest resuscitation was neuroprotective ( Bernard et al and The Hypothermia after Cardiac Arrest Study Group ). By-standard CPR is started and EMS is called. Circulation 2016.

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RebelEM

JANUARY 25, 2023

J Trauma Acute Care Surg 2012; 73(5): S362-9. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 PMID: 23758299 Maung AA et al.

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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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Leadership Emergency Department Ultrasounds CPR 52

PHEM Cast

APRIL 21, 2021

Annals of Emergency Medicine 2012; Volume 60, Issue 6, Pages 749–754.e2 Resuscitation. Resuscitation. Association Between Repeated Intubation Attempts and Adverse Events in Emergency Departments: An Analysis of a Multicenter Prospective Observational Study. e2 Delson NJ et. Anesthesia and Analgesia, 2002; 94; S-123. 2011.06.028.

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Advanced Emergency Nursing from AENJ

JULY 9, 2015

ü With foresight, plan for your alternatives based upon what you have now , until the patient can be brought safely to conventional resuscitation room settings. Resuscitation, 56(1), 83-89. Video] Oct 30, 2012. Pediatric Airway: brief intro for trauma providers} [Video] May 21, 2012. Video] Dec 19, 2012.

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Airway Management Pediatrics Resuscitation Emergency Nursing 40

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. 2012; 19:1276–1280. Early Lactate Elevations Following Resuscitation From Pediatric Cardiac Arrest Are Associated With Increased Mortality. 2014; 14:83.

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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 or cuff pressure: clinical predictors among patients in shock in a critical care resuscitation unit. 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!) 2012 Nov 9;2(1):46. 2012 Mar 14;307(10):1072-9. Not actively bleeding : technetium-99 pertechnate scintigram (Meckel’s scan). Crit Care Med. 1992 Jan;20(1):35-42. Osman D, Djibré M, Da Silva D, Goulenok C. Ann Intensive Care.

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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. 8, 2012 12:12 a.m. National Review Online December 16, 2012 4:00 PM Sincerely, Tom Trimble, RN CEN All opinions are solely those of the author.

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PulmCCM

FEBRUARY 19, 2024

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.” ” But even that watered-down statement is unjustified. Let’s take a closer look. Family-Activated METs in Adults Halves Mortality?

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Taming the SRU

APRIL 10, 2023

Patient remained hypotensive after fluid resuscitation and was admitted to the CVICU for management. During his admission, the patient’s blood pressure improved with correction of hypovolemia with crystalloid fluid resuscitation, and his CK and troponin trended downward. Sudden Sensorineural Hearing Loss Due to Drug Abuse.

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Ken Grauer, MD

JULY 29, 2023

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Figure-1: The initial ECG in today's case — obtained following resuscitation from cardiac arrest of an 18-year old woman. About A RVC/ A RVD.

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Pediatric Emergency Playbook

JUNE 1, 2016

Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013; 41:580-637. Jaff MR et al.

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RebelEM

MAY 25, 2023

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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EMDocs

DECEMBER 6, 2024

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Published 2012 Jul 1. 2012 Aug;39(8):719-24. Basic assessment: airway, breathing, circulation. Antiemetics as needed. 2 L/hr in adults.

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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. Pulmotor is 1907. Beecher, M.

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Resuscitation CPR Documentation/Coding Military 40

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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Don't Forget the Bubbles

NOVEMBER 29, 2023

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. |

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Don't Forget the Bubbles

AUGUST 23, 2023

These unprocessed emotions can lead to vicarious trauma , especially in resuscitation providers. Rather, immediately after an unsuccessful resuscitation attempt, there should be an opportunity for those involved to partake. 2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”.

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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. and hepatic encephalopathy), advanced liver cirrhosis, atrial fibrillation, presence of ventricular dysrhythmia, use of pacemaker, and those with do-not-resuscitate orders. 1967;165(4):504-17.

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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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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. link] (2014). Tran K, Cimon K, Severn M, et al.

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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. Lots to think about! References: RePhill Trial Homepage: [link] Smith IM, James RH, Dretzke J, Midwinter MJ. 2016 Jul;46(1):3–16.

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EMDocs

OCTOBER 5, 2024

4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed.

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Pediatric Emergency Playbook

JUNE 1, 2017

The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 2012; AID 471759. 2012; 7:19796. Blog Post] July 22, 2012. 2012; 59(13):1123-1133. 2015; 19(2):e107-e109.

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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. 2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. 2012 Jul 19 [cited 2023 Nov 30];345:e4565.

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PHEM Cast

FEBRUARY 25, 2021

References Szpilman D, Bierens JJ, Handley AJ, Orlowski JP (2012) Drowning. Resuscitation. 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,

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