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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. This is referred to as CPR I nduced C onsciousness ( CPRIC ). 2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9. Another attempt led to an oesophageal intubation.

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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

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The ‘Hidden C’

Don't Forget the Bubbles

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. Conclusion Critical care resuscitation is stressful.

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Riding the Waves: End-Tidal CO2 Monitoring

Taming the SRU

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care."

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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Peter Josef Safar in 2003, who is often called "The Father of Cardiopulmonary Resuscitation," or noted citations of his work in articles written and references given by me here at AENJournal.com and the Advanced Emergency Nursing Blog. " established that exhaled air was a satisfactory gas for resuscitation.

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Rapid Cycle Deliberate Practice

EM SIM Cases

After the program identified a gap in resuscitation training opportunities for their learners, she set up a longitudinal simulation based training curriculum for the learners of the curriculum, based on the objectives of training of the specialty and a needs assessment conducted by the program of relevant stakeholders.

CPR 52
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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Resuscitation. Circulation.