Don't Forget the Bubbles

AUGUST 23, 2023

These unprocessed emotions can lead to vicarious trauma , especially in resuscitation providers. Rather, immediately after an unsuccessful resuscitation attempt, there should be an opportunity for those involved to partake. 2014) “Death of a child in the emergency department” American Academy of Pediatrics. Resuscitation.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

RebelEM

FEBRUARY 24, 2025

May 2014; PMID: 24495437. lactate-targeted fluid resuscitation on regional, microcirculatory and hypoxia-related perfusion parameters in septic shock: a randomized controlled trial. Ultrasound Med Biol. Sanfilippo F, et al. Arterial Pulse Pressure Variation with Mechanical Ventilation. Am J Respir Crit Care Med. Castro R, et al.

Ultrasounds 75

Ultrasounds Shock Fluid Resuscitation Resuscitation 75

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

ALiEM

APRIL 12, 2023

Ever finally step away from a busy resuscitation and someone stops you for peripheral IV access? Hynynen, 10.08 – Ultrasound Therapy, Editor(s): Anders Brahme, Comprehensive Biomedical Physics, Elsevier, 2014, Pages 153-168, ISBN 9780444536334. No problem. Trick of the Trade 1. DOI: 10.1016/B978-0-323-48110-6.00020-X R.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

ETM Course

JUNE 28, 2015

Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Survival of severe blunt trauma patients treated with resuscitative endovascular balloon occlusion of the aorta compared with propensity score-adjusted untreated patients. The Surgeon 2014 Jun;12(3):119-20 6. Martinelli et al.

Hospitals 52

Hospitals Resuscitation Shock Military 52

EMDocs

AUGUST 22, 2023

2019 American Heart Association Focused Update on Advanced Cardiovascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorporeal Cardiopulmonary Resuscitation During Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Ann Emerg Med.

Emergency Department 95

Emergency Department Blood Transfusions Resuscitation Sepsis 95

EMDocs

APRIL 2, 2024

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.,

Documentation/Coding 115

Documentation/Coding CPR EKG/ECG Sepsis 115

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

Pediatric Emergency Playbook

MARCH 1, 2016

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Ken Grauer, MD

OCTOBER 27, 2023

She was successfully resuscitated — with a post-arrest rhythm similar to that seen in Figure-1. Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks. Unfortunately, before this could be accomplished — the patient went into cardiac arrest.

EKG/ECG 257

EKG/ECG Resuscitation Hospitals Wellness 257

Pediatric Emergency Playbook

MARCH 1, 2017

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. Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation. Prehosp Emerg Care.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

PHEM Cast

JANUARY 4, 2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2014; 36: 853-857. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. BMJ Quality & Safety. 2013; 22: 468-477.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

Northwestern EM Blog

APRIL 15, 2024

Respiratory Care 59 (2014): 895 - 919. As with any high stress situation in resuscitation, it helps to fall back onto our ABCs, airway being of principle importance here. Resuscitating the tracheostomy patient in the ED. Emergency Medicine Clinics 37.1 2019): 109-119. Cheung, Nora Ham-Ting and Lena M. Napolitano. Rajendram, R.,

Emergency Department 98

Emergency Department Resuscitation Pediatrics Outcomes 98

ETM Course

JULY 4, 2015

Here’s some of the trauma education gold John left us with: John’s superb talk on resuscitative thoracotomy from the recent SMACC Chicago conference EMCrit Podcast 135 – Trauma Thoughts with John Hinds The summary on this post is also worth a read, available here.

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Resuscitation 52

PHEM Cast

FEBRUARY 25, 2021

Resuscitation. Golden & Hervey, 1981 Oakley & Pethybridge, 1997 Tipton 2016 Bierens 2014. New Engl J Med. 366: 2102–10. Tipton & Golden (2011). Decision making guide for immersion incidents involving total (head under) submersion. 82: 819-824. Handbook of Drowning.

Resuscitation 52

Resuscitation Hospitals Outcomes Wellness 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. The PROSEVA trial used 6 mL/kg for tidal volume for increased lung protection. They also used a PEEP of 5, although the optimal PEEP setting is unknown. 2013; Mi et. Samanta, S.,

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 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

EMDocs

NOVEMBER 1, 2023

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. 4 Fluid resuscitation and vasopressor use as appropriate. McGraw-Hill Education; 2014.

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Operations Radiology Radiology Fluid Resuscitation 95

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 94

Poisoning CDC Administration Emergency Department 94

ACEP Now

NOVEMBER 7, 2023

Heart disease and stroke statistics—2014 update: a report from the American Heart Association. Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines. Resuscitation. Resuscitation. Resuscitation. Resuscitation. Resuscitation. Circulation.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

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

PHEM Cast

FEBRUARY 23, 2017

Prehospital Blood Product Resuscitation for Trauma. Emerg Med J 31(2):93–95, 2014. In patients with penetrating trauma permissive hypotension may remain useful for longer or at least until a patient can be differentiated and the bleeding controlled. Lots to think about! 2016 Jul;46(1):3–16.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

Intensive Blog

AUGUST 21, 2024

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Discuss the advantages and disadvantages of using pulse oximetry to target oxygen therapy (50%) What SpO2 targets do you use in ICU patients and why? (50%) 50%) Oxygen saturation targets in critical care Q2.

Burns 52

Burns Hyperthermia / Hypothermia Fluid Resuscitation Operations 52

Advanced Emergency Nursing from AENJ

APRIL 29, 2015

Every five years, a conference determines the current state of the art for resuscitation recommendations. For babies born at term, it is best to begin resuscitation with room air rather than 100% oxygen. Resuscitation, 85(9), 1142-1148. J., & Bellomo, R. Intensive care medicine, 41(1), 49-57. cited in : Pourmand, A.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

PHEM Cast

JULY 6, 2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 21 , 43. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 21 , 59. Cricothyroidotomy: a clinical anatomy review. Clinical Anatomy (New York, NY) , 17 (6), 478–486. link] Buonopane, C. Sottile, D., Del Vecchio, L., Merola, R., link] Hubert, V.,

Airway Management 52

Airway Management Academics Operations Resuscitation 52

Taming the SRU

JULY 2, 2023

Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." 2014): 247-258. Pediatric emergency care 12.4 1996): 249-251. Neumar, Robert W., Circulation 132.18_suppl_2 (2015): S315-S367. Waugh, Jonathan B., Epps, and Yulia A. 2011): 189-196.

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Emergency Department Pediatrics CPR Administration 88

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

JANUARY 26, 2015

2014) Emergency Care Institute, New South Wales. 2014) Tiny Tip: PRE -eclampsia. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. 2014) Medscape.com Sullivan, MG (2007) Time Is Critical for Success in Perimortem C-Section ACEP News. 2014) Trauma in the Obstetric Patient: A Bedside Tool. Stafford, I.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Taming the SRU

MAY 5, 2023

2014, Hjortrup, Haase 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. Bernard (2014). 2016, Andrews, Semler et al. 2017, Silversides, Major et al. Heimburger and G.

Sepsis 52

Sepsis Shock Administration 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. Nickson, Chris.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

PHEM Cast

MARCH 17, 2016

2014; 65(4): 349-355. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. Annals of Emergency Medicine. 2012; 59(3): 165-175. Weingart SD, Trueger NS, Wong N, Scofi J, Singh N, Rudolph SS. Delayed Sequence Intubation: A Prospective Observational Study. Weingart SD.

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Let's look at the early expired air resuscitation adjuncts!

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

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. 2014 Apr;13(4):364-73. Epub 2014 Feb 13. Neurosurgery takes the patient to surgery after the CT angiogram suggests aneurysmal rupture.

Stroke 101

Stroke Outcomes EMS Seizures 101

EM SIM Cases

MARCH 14, 2023

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. DOI:10.1037//0033-295X.100.3.363.

CPR 52

CPR Resuscitation Pediatrics Academics 52

Advanced Emergency Nursing from AENJ

APRIL 22, 2014

Emergency Airway, Ventilation, and Cardiac Resuscitation Anesth Prog. 1967 November; 14(9): 236–249. PMCID: PMC2235452 Sincerely, Tom Trimble, RN CEN All opinions are those of the author.

Emergency Nursing 40

Emergency Nursing Resuscitation Pediatrics Research 40

PHARM

SEPTEMBER 21, 2023

This is a retrospective cohort study of all TBI patients requiring tracheal intubation on scene who were transported to one of two major level 1 trauma centers in Switzerland between January 2014 and December 2019 by Swiss Air Rescue (Rega).

Hospitals 40

Hospitals Resuscitation Wellness Outcomes 40

EMDocs

APRIL 22, 2024

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. 2014 May;145(5):950-957. Cardiac Thrombus Formation During Cardiopulmonary Resuscitation for Cardiac Arrest: Is It Time for Ultrasound-Enhanced Algorithms?

Ultrasounds 98

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