EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 92

Operations Radiology Radiology Fluid Resuscitation 92

Pediatric Emergency Playbook

MARCH 1, 2017

An update on out-of-hospital airway management practices in the United States. Resuscitation. 2014 Jul;85(7):885-92. 2014 Apr;112(4):742-8. 2014 Jan-Mar;18(1):106-15. 2014 Fall;61(3):113-8. Resuscitation. How much force is required to dislodge an alternate airway? Prehosp Emerg Care. Ehrlich PF et al.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

PHEM Cast

APRIL 10, 2016

It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Northwestern EM Blog

MARCH 1, 2025

Hemodynamic instability and ongoing cardiac arrhythmias are a strong contraindication as chest access for cardiopulmonary resuscitation is limited (Koulouras et. Maren Leibowitz, MD Critical Care Fellow Mount Sinai Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Goins, E. 2013; Mi et. Pelosi P, Brazzi L, Gattinoni L.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

Taming the SRU

FEBRUARY 12, 2024

She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Hospital Course Based on the primary survey, no acute airway interventions were undertaken. Jan; 151(1): 127-138. Cuker A, et al. J Am Coll Cardiol.

Administration 81

Administration Fractures Anaphylaxis Head Injuries 81

Don't Forget the Bubbles

SEPTEMBER 23, 2023

Facilitator-in-chief’ is my role when leading the ED Musos virtual choir and orchestra, and this also applies to my job in the hospital as Director of the Emergency Department. The New South Wales Doctors Orchestra ‘Musicus Medicus’ – 2014 An orchestra is a complex system with many moving parts. It’s a bit like the health system.

Leadership 136

Leadership Teamwork Hospitals Emergency Department 136

EMDocs

JANUARY 29, 2024

Case Resolution: In addition to standard measures for resuscitation, the patient is started on a nicardipine drip to target an SBP < 160 mmHg and neurosurgery is urgently consulted. Blood Pressure Variability Predicts Poor In-Hospital Outcome in Spontaneous Intracerebral Hemorrhage. 2014 Apr;13(4):364-73. Epub 2014 Feb 13.

Stroke 98

Stroke Outcomes EMS Seizures 98

PulmCCM

FEBRUARY 19, 2024

Let Families Activate Rapid Response Teams, Says SCCM The Society of Critical Care Medicine (SCCM) issued a new guideline on how hospitals and care teams should respond to emergencies outside the ICU or ED (i.e., SCCM now suggests this should be a standard practice at most hospitals. on the medical and surgical wards). Read it here.

Hospitals 52

Hospitals Resuscitation Burns Documentation/Coding 52

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr Surg 2014; 49:1619. 2014; 8(5):533-541. Management of the child after enema-reduced intussusception: hospital or home? J Pediatr Surg 2005; 40:197. Sulkowski JP, Cooper JN, Congeni A, et al. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. 2007; 16:27-33.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. The paramedics report another seizure on route to the hospital.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. There’s been some study of angiotensin II in the years since it has landed in our hospital formularies and there has not been robust data supporting its use.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

ACEP Now

OCTOBER 30, 2023

ESEM hosted the second Global Network Collaborative Conference on Emergency Medicine in 2013 and organized its first large scientific conference in Dubai in December 2014. These initiatives aim to equip physicians with an evidence-based approach and effective management strategies for common emergency-department scenarios.

Leadership 52

Leadership Emergency Department Ultrasounds CPR 52

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. BULLETIN-HOSPITAL FOR JOINT DISEASES NEW YORK, 64(3/4), 139. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; de Barros Filho, T.

Military 40

Military Forensics Documentation/Coding Emergency Nursing 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). In the cath lab, the patient’s blood pressure remained low.

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified. However, STE-aVR with multilead ST depression was associated with 31% in-hospital mortality compared with only 6.2% Knotts RJ, Wilson JM, Kim E, Huang HD, Birnbaum Y.

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

Pediatric Emergency Playbook

APRIL 1, 2016

Effectiveness of predicting in-hospital mortality in critically ill children by assessing blood lactate levels at admission. 2014; 14:83. Early Lactate Elevations Following Resuscitation From Pediatric Cardiac Arrest Are Associated With Increased Mortality. Etiology and therapeutic approach to elevated lactate. Mayo Clin Proc.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Ken Grauer, MD

JULY 29, 2023

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Figure-1: The initial ECG in today's case — obtained following resuscitation from cardiac arrest of an 18-year old woman.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

Don't Forget the Bubbles

NOVEMBER 1, 2023

This month, Bubble Wrap has teamed up with Sheffield Children’s Hospital Emergency Department to have a look at what’s new in paediatric literature. Sheffield Children’s Hospital is a stand-alone tertiary children’s hospital in the heart of Sheffield with a paediatric MTC. Pediatric Emergency Care. What’s it about?

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

Don't Forget the Bubbles

NOVEMBER 29, 2023

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. 2014 May;32(5):452-6. Epub 2014 Jan 15.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

EMDocs

JUNE 22, 2024

Epub 2014 Jun 30. J Matern Fetal Neonatal Med. 2015 May;28(7):793-8. doi: 10.3109/14767058.2014.932766. PMID: 24974876. Young BK, Florine Magdelijns P, Chervenak JL, Chan M. Amniotic fluid embolism: a reappraisal. J Perinat Med. 2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. PMID: 38082418. “Amniotic fluid embolism.”

EMS 111

EMS Resuscitation Seizures Blood Transfusions 111

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

This is the fifth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. It was not a practical resuscitative aid until production could be commercially successful (~1895) and made portable in compressed form.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

EMDocs

DECEMBER 18, 2023

13,14 Fluids Fluid resuscitation is a mainstay of sepsis therapy, as the condition is commonly associated with both absolute and relative hypovolemia. 15 Two changes were elucidated in the 2021 SSC guidelines for fluid resuscitation. Additionally, the recommendation to use a 30 cc/kg bolus was downgraded.

Sepsis 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

RebelEM

MAY 15, 2024

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. 2014 Aug 21;124(8):1251-8; quiz 1378. doi: 10.1182/blood-2014-02-482612. Epub 2014 May 28. 2014, November 10). 2014 Jul; 58(7): 3799–3803. Neutropenic Fever: Fever (one reading of 38.3C

Infectious Diseases 98

Infectious Diseases Administration Sepsis Anaphylaxis 98

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

Don't Forget the Bubbles

JUNE 30, 2023

In addition, a flimsy cannula is easily dislodged during ongoing resuscitation and easily clots off. This was a randomised controlled multisite study comparing resuscitation of trauma patients requiring massive transfusion using either 1:1::1 or 1:1:2 ratios of platelets to plasma to red blood cells. to −0.5%]; P  = 0.03.).

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

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. 2014 Apr;133(4):e1104-16. Pediatrics.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

PHEM Cast

MAY 3, 2020

The most recent assessment by WHO (2014) states that there is only consistent evidence that there is an increased risk of transmission for the following procedures: tracheal intubation, tracheotomy procedure, non-invasive ventilation, and manual ventilation before intubation as AGPs. link] (2014). World Health Organization.

PPE 52

PPE Airway Management Resuscitation Hospitals 52

Taming the SRU

MAY 5, 2023

2014, Hjortrup, Haase et al. vs 42.1%), as were days alive outside of the hospital and days without life support (Meyhoff, Hjortrup et al. There was also an advantage of using MAP as an endpoint, which is a significant advantage as this is a standard resuscitation and hemodynamic end point in routine clinical care of patients in shock.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

PHEM Cast

FEBRUARY 23, 2017

Prehospital Blood Product Resuscitation for Trauma. Weaver AE, Eshelby S, Norton J, Lockey DJ: The introduction of on-scene blood transfusion in a civilian physician-led pre-hospital trauma service. Emerg Med J 31(2):93–95, 2014. Lots to think about! 2016 Jul;46(1):3–16. Scand J Trauma Resusc Emerg Med 21(Suppl1):S27, 2013.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

PHEM Cast

FEBRUARY 25, 2021

Prognostication Better outcomes: Rescued and BLS commenced < 5-10 min Children Those who have not aspirated Water temperature < 10 o C, core body temperature 33-35 o C Neurologically intact on arrival at hospital Minimum blood pH > 7.1, Resuscitation. New Engl J Med. 366: 2102–10. Tipton & Golden (2011). 82: 819-824.

Resuscitation 52

Resuscitation Hospitals Outcomes Wellness 52

Don't Forget the Bubbles

MAY 3, 2023

The effect of hand position on chest compression quality during CPR in young children: Findings from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. Reviewed by: Owen Hibberd Article 4: Intraosseous access success rates for pre-hospital paediatric resuscitations. 2023;185:109741.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

EM SIM Cases

MARCH 14, 2023

He is a staff physian at McMaster Children’s Hospital, scholar with the McMaster Education Research, Innovation and Theory (MERIT) program and Founding Program Director for the Pediatric Emergency Medicine subspecialty residency program. Pediatric resident resuscitation skills improve after RCDP training. DOI:10.1037//0033-295X.100.3.363.

CPR 52

CPR Resuscitation Pediatrics Academics 52

EMDocs

SEPTEMBER 7, 2023

2,10 Initial stabilization of DEG toxicity includes correcting acid-base abnormalities, electrolyte abnormalities, and volume resuscitation. Volume resuscitation as needed while adjusting for any developing acute kidney injury. 6, 1 June 2014, pp. Pay careful attention to fluid balance, as DEG has osmotic diuretic effects.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

EMDocs

APRIL 22, 2024

1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associated with these conditions. During this resuscitation two different ultrasound machines were used to capture images due to a malfunction with the first machine after initial images were captured.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

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.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Still, except for the public hospital, other hospitals did little emergency work and would have unattended first aid or treatment room in which one could meet one's physician or have an intern provide care in the meanwhile. 1950s & 1960s Resuscitation Research. and professional commercial ambulances for private patients.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40