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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. While some studies showed that CPRIC is associated with increased survival to hospital discharge, administering muscle relaxants during resuscitation increased mortality. 2013 Jan;31(1):222-6. Ben was awake but paralysed.

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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Resuscitation. Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients.

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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. patient is becoming drowsy), seek anaesthetic assistance straight away for airway management. For shocked patients fluid resuscitation should begin as quickly as possible. Tasker, R.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. IOs can be used both for resuscitation, medication administration, and for laboratory testing, but there are a few important considerations. 2013 Jul;30(7):521–6.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Airway management should not be delayed. 7 Airway management: consider early airway management. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. 2013; 6:524. Published 2013 Dec 9.

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EM@3AM: Murine Typhus

EMDocs

Flea-Borne Typhus: Epidemiology Summary 2013-2019. Rosh Review Website Link References: Texas Department of State Health Services. Flea-Borne Typhus. Accessed August 19, 2024. California Department of Public Health. Accessed August 19, 2024. Centers for Disease Control and Prevention. Murine Typhus—United States, 2002. 2003;52(50):1209-1211.

EMS 94
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Supraglottic Airways

Pediatric Emergency Playbook

How much force is required to dislodge an alternate airway? An update on out-of-hospital airway management practices in the United States. Resuscitation. Successful tracheal intubation through an intubating laryngeal airway in pediatric patients with airway hemorrhage. 2013 Sep 9;(9):CD010105.