Remove 2013 Remove Documentation/Coding Remove Shock
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Chemical Burns

Mind The Bleep

Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. Provide detailed documentation of the initial assessment, treatment provided, and the patient’s response to interventions. 2013 May;74(5):1363-6. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% J Trauma Acute Care Surg.

Burns 52
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Big Labs, Little People

Pediatric Emergency Playbook

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Newby KL et al.

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Grand Rounds Recap 9.6.23

Taming the SRU

ETT onto a fiberoptic scope.

CPR 91
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. What do you see?

EKG/ECG 40
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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Jeff: Do note, however that 2013 guidelines do not recommend one procedure over another and leave that decision up to local surgical expertise, patient specific risk factors, and treatment goals. Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications.

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A woman in her 20s with syncope

Dr. Smith's ECG Blog

Given her tachycardia and episodes of syncope, the patient was judged to be in compensated obstructive shock with very high risk of imminent decompensation. This patient was reported to have distant heart sounds but was not hypotensive and did not have JVD according to documentation. 2013 Sep;26(9):965-1012.e15. 2013.06.023.

EKG/ECG 40
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Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EB Medicine

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Jeff: That is simply shocking! PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. This can help with destination selection when relevant. Let’s also talk lab studies.