Remove 2012 Remove Shock Remove Ultrasounds
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Approach to Shock

Pediatric Emergency Playbook

Do we recognize shock early enough? World wide, shock is a leading cause of morbidity and mortality in children, mostly for failure to recognize or to treat adequately. So, what is shock? Simply put, shock is the inadequate delivery of oxygen to your tissues. How do we prioritize our interventions? Pericardial Effusion?

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

RebelEM

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. 2012 PMID: 21893125. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. minutes compared to a mean placement time of 10.7

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Episode 28: LOST

PHEM Cast

Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. 2012; 73: 102-10. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Use of CPR in hemorrhagic shock, a dog model.

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emDOCs Podcast – Episode 110: Primary Spontaneous Bacterial Peritonitis

EMDocs

Ultrasound can assist: confirm ascites, evaluate for best site, abdominal wall thickness, blood vessels along needle track. Management: Patients can rapidly progress to septic shock and multiorgan failure. Safety of ultrasound-guided thoracentesis in patients with abnormal preprocedural coagulation parameters. 2013;144:456–463.

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EM@3AM: Murine Typhus

EMDocs

2012 Jun 30;43(2):175-80. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. MMWR Morb Mortal Wkly Rep. 2003;52(50):1209-1211. Accessed August 19, 2024. Murine Typhus: Clinical and epidemiological aspects.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2012; 43(1):49-51. BMJ 2012; 345:e5521. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. 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.

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Diagnostics and Therapeutics: Arterial Lines and Invasive Blood Pressure Monitoring

Taming the SRU

A recent observational study was performed to pragmatically assess clinically meaningful differences in BP in a diverse critically ill cohort with shock. In general, radial artery readings in patients with shock likely underestimate central pressure which can lead to increasing vasopressor dosing. Cite As: Snyder, B. Broadstock, A.

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