EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2013 Jul;44(7):1846-51. Epub 2013 May 23.

Stroke 99

Stroke Outcomes EMS Seizures 99

PHEM Cast

JULY 27, 2021

The Sonosite website has some excellent resources, which you can filter according to specialty, including prehospital using ‘EMS/Air Med/Ambulance’. Crit Care Med 2013; 41: 1774-81. The radiopaedia website is an amazing resource for all things imaging. Their section on POCUS is here. Kenji Inaba. 2015 Marik PE, Cavallazzi R.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

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? He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR Safety Team. The resuscitation team arrives and ACLS protocols are continued.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant with the Ottawa Hospital Research Institute, Professor at Fanshawe College and currently, Superintendent of Education for Middlesex-London EMS, in London, Ontario, Canada. By-standard CPR is started and EMS is called. They arrive quickly and take over the resuscitation.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

PHEM Cast

DECEMBER 1, 2017

For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper. Pleural decompression and drainage during trauma reception and resuscitation. Initial Management and Resuscitation of Severe Chest Trauma. Note – again please do not use this location!

Academics 52

Academics Radiology Radiology Resuscitation 52

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

PHEM Cast

APRIL 21, 2021

Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. Int J Emerg Med 6, 38 (2013). Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. 2011 Dec;82(12):1519-24. doi: 10.1016/j.resuscitation.2011.06.028.

Airway Management 40

Airway Management Resuscitation EMS Hospitals 40

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] Sep 15, 2013. YouTube.com [Time=33’11” Presentation] EMS World. Video] Nov 19, 2013. McClusky, S., Koetter, K.

Airway Management 40

Airway Management Pediatrics Resuscitation Emergency Nursing 40

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. Police officers have poor hit probability, ricochets may occur, suppressive fire may be used (“keep ‘em pinned down”), or even ‘spray and pray.”

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension. N Engl J Med 2003; 348:1756-1763, 5/1/2013.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Cardiology emergently came down to see the patient and took her immediately to the cath lab for a pericardiocentesis (if the cardiologist and cath lab had not been immediately available, then the EM team would have needed to perform pericardiocentesis). 2013 Sep;26(9):965-1012.e15. J Am Soc Echocardiogr. doi: 10.1016/j.echo.2013.06.023.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

EB Medicine

AUGUST 6, 2019

Interestingly, one retrospective study found limited agreement between EMS records and hospital documentation on current DOAC usage. Jeff: For all agents, regardless of the DOAC, the initial resuscitation follows the standard principles of hemorrhage control and trauma resuscitation. Nachi: So I think that rounds out testing.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2013 Sep;163(3):761-6. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. The mortality rate for cerebral edema is 21%–24%.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Intensive Blog

MARCH 13, 2024

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. 2013 Sep;184(1):352-7. Pediatrics.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Czech Military resuscitation kit, 1969, mfr.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

EMDocs

SEPTEMBER 25, 2023

Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” Resuscitation 2013; 84(11): 1500 – 4. 2013): 71-78. We don’t want to go backwards! Sakles, John C.,

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

RebelEM

MAY 15, 2024

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Clin Microbiol Infect 2013; 19:474 Klastersky J. Give appropriate fluids, vasopressors, and antibiotics. 2011 Jun;153(6):773-9.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Alongside his EM residency, he is doing a PhD in epidemiology. Audrey’s academic interests include trauma and resuscitation. Alongside his EM residency, he is doing a PhD in epidemiology. Audrey’s academic interests include trauma and resuscitation. Robert’s academic interests include research and evidence-based medicine.

Academics 52

Academics Resuscitation EMS Stroke 52

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. 2013 Jan;33(1):38-43. Early consultation with the poison center is prudent. Pharmacotherapy.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

PHEM Cast

JULY 6, 2017

[link] The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 21 , 43. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 21 , 59. Frerk et al. link] Nakstad, A.

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Northwestern EM Blog

SEPTEMBER 12, 2022

In most events, hospitals have communication with EMS personnel that are on scene allowing them to have some sort of estimation of the scale of the event and type of disaster encountered. This can be gauged by the type of disaster encountered and with assistance from EMS personnel at the scene. EMS Mass Casualty Management.”

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

ACEP Now

OCTOBER 10, 2023

Goal-directed resuscitation for patients with early septic shock. link] Published June 30, 2013. 2022;53(7):e282-e361. ARISE Investigators; ANZICS Clinical Trials Group; Peake SL, et al. N Engl J Med. 2014;371(16):1496-506. The adventure of the cardboard box. EMCrit website. Accessed September 17, 2023. Spiegel R.

Outcomes 52

Outcomes Stroke Emergency Department Hospitals 52

Dr. Smith's ECG Blog

MAY 5, 2022

Submitted and written by Destiny Folk MD , peer reviewed by Meyers, Smith, Grauer, McLaren A man in his early 30s with no significant past medical history was brought to the ED by EMS after being found unresponsive by a friend. EMS arrived and found him awake and alert. Fluid resuscitation was initiated.

EKG/ECG 52

EKG/ECG Fluid Resuscitation EMS Shock 52

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Non-traumatic critically ill patients: There are many formulas (i.e.,

Emergency Department 98

Emergency Department Resuscitation COPD Shock 98

RebelEM

DECEMBER 23, 2024

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). PMID: 39250114 Clinical Question: In adult patients admitted for a vaso-occlusive episode, does early fluid resuscitation with Lactated Ringer solution compared to 0.9%

Fluid Resuscitation 129

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 129

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. This corresponds nicely to a 2013 retrospective study demonstrating a bHCG threshold for the fetal pole to be just below 1400. Jeff: Oh it certainly is. So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

Dr. Smith's ECG Blog

APRIL 9, 2025

A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Our objective was to use 'target trial emulation' methodology to compare the outcomes of patients who received amiodarone or lidocaine during resuscitation. DOI: 10.1016/j.resuscitation.2025.110515

EKG/ECG 63

EKG/ECG Resuscitation Administration Shock 63

EMDocs

JUNE 27, 2024

Critical Care Medicine 41(12):p A191, December 2013. Sundd P, Gladwin MT, Novelli EM. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 0.4 C or 100.4 mg/kg, max 0.4

Pediatrics 97

Pediatrics Dehydration EMS Hospitals 97

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation. Andrews et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Dr. Smith's ECG Blog

DECEMBER 23, 2024

Her family had not heard from her and called EMS. She was resuscitated and admitted to ICU for presumed sepsis. In an effort to reinforce these measures presented by Dr. Frick in his above discussion I've reproduced the following Section from my ACLS-2013-ePub. adapted from Grauer K: ACLS-2013-ePub Section 15, KG/EKG Press ).

EKG/ECG 114

EKG/ECG Shock Ultrasounds Sepsis 114

EMDocs

JUNE 7, 2023

Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. 2013; 6:524. Published 2013 Dec 9. Clin Toxicol (Phila) 51: 838, 2013. Avoid Further Exposure Avoid cholinergic agents that will exacerbate symptoms. BMC Res Notes.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

ACEP Now

OCTOBER 29, 2024

EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). Figure 1: The EMS rhythm strip. 7 The ECG findings can be concealed or transient after resuscitation from cardiac arrest. There was no family history of syncope or sudden death. Click to enlarge.) Heart Rhythm.

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52