Taming the SRU

SEPTEMBER 15, 2023

Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, you need to first calculate a Wells’ Score for a DVT If low/moderate risk, can start with a D-dimer prior to committing (..)

CPR 90

CPR Burns Airway Management Wellness 90

RebelEM

SEPTEMBER 28, 2023

Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% of patients in the pharmaco-invasive treatment achieved ≥50% resolution in the lead with the greatest ST-segment elevation Median decline from 3.0 Primary PCI: 78.4% Primary PCI: 13.3%

EKG/ECG 138

EKG/ECG Allergic Reactions Shock Stroke 138

The Skeptics' Guide to EM

MAY 8, 2021

He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? Date: May 7th, 2021 Guest Skeptic: Dr. He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR Safety Team. Reference: Shah and Mitra.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Don't Forget the Bubbles

JUNE 26, 2023

Too much pulmonary blood flow and we will see well-oxygenated blood ( SpO2 >85% ) but insufficient systemic blood flow (pallor/mottling, cool peripheries, delayed capillary refill time, weak pulses, hypotension, narrow pulse pressure) and hypoxia (lactic acidosis). 2014;129(20):2013-2020. This is the most nuanced aspect.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

PHEM Cast

SEPTEMBER 6, 2017

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J. H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. I Dual capnogram in one lung transplantation patient.

CPR 52

CPR Resuscitation Operations Shock 52

The Skeptics' Guide to EM

DECEMBER 7, 2019

The Journal of Pediatrics published a systematic review of literature regarding the Management of ALTE in 2013 and one of the findings was that there was very little agreement in the literature on how to apply the definition. It is a diagnosis of exclusion that applies to infants under the age of 12 months.

Pediatrics 52

Pediatrics Seizures CPR Hospitals 52

Advanced Emergency Nursing from AENJ

DECEMBER 11, 2015

In the 55 years since its discovery [Wikipedia] , it has garnered a well-earned reputation as an unparalleled specific antidote or remarkable safety. The recent substitution of “Hands-only CPR” being taught --largely because the public is unwilling to do direct oral contact-- has further deemphasized artificial respiration.

CPR 40

CPR EMS Emergency Nursing Pediatrics 40