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. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g., A emergent cardiology consult can be helpful for equivocal cases.

EKG/ECG 52

EKG/ECG Shock Sepsis Emergency Department 52

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 2014; 14(1): 23-227. 2014; 5(4)L631-634. Cardiovasculr Ultrasound. 2014; 12:15. The high-velocity object: coronary artery dissection or thrombus Direct trauma (e.g. Congenit Heart Dis. 2007; 2:2-11.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

OCTOBER 1, 2018

In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! One, lung ultrasound can be really useful to find that occult pneumonia or differentiating pneumonia from CHF. Patient’s need adequate fluid resuscitation.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EMDocs

APRIL 22, 2024

Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams. 2014 May;145(5):950-957. doi: 10.1378/chest.13-1087. PMID: 24092475.

Ultrasounds 93

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 93

Pediatric Emergency Playbook

AUGUST 1, 2017

J Pediatr Surg 2014; 49:1619. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. Single-stage versus multi-stage pull-through for Hirschsprung's disease: practice trends and outcomes in infants. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

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

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. EDNA->ENA.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation 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 75

Sepsis Fluid Resuscitation Resuscitation Shock 75

PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Initial Management and Resuscitation of Severe Chest Trauma. Ultrasound in Emergency Medicine. Emergency Medicine Journal , 22 (11), 788–789. Mackenzie, C.

Academics 52

Academics Radiology Radiology Resuscitation 52

Pediatric Emergency Playbook

JANUARY 1, 2017

A special note on codeine : Tylenol with codeine (“T3”) has never been a very effective pain medication, as up to 10% of patients lack enzymatic activity to metabolize it into morphine, its active form ( Crews 2014 ). neutropenia) ( Babl 2011 , Dokko 2014 ). 2014 Sep 6;12:39. Pediatr Rheumatol Online J.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

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

Taming the SRU

MAY 5, 2023

2014, Hjortrup, Haase et al. It would be interesting to stratify the doses of vasopressor administration to the few potential adverse events (all of which resolved), or the location of the peripheral line, given the questions raised regarding safety and patency of ultrasound-guided IVs versus non-ultrasound guided-IVs.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

Mind The Bleep

DECEMBER 6, 2024

Normally identified on scrotal exploration (being performed for presumed torsion) as ultrasound is not always diagnostic. On examination the pain will be focal, the duration can be longer and there can be a blue dot present on the scrotum. Hydatid of Morgagni torsion is self-limiting and has no long-term impact. Amsterdam: Elsevier.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52

Intensive Blog

FEBRUARY 9, 2023

Other investigations to consider include imaging of the liver with ultrasound and computerised tomography (CT) to assess for any changes to the liver parenchyma or vasculature, such as portal vein thrombosis or Budd Chiari Syndrome (hepatic venous outflow obstruction). 2014, Jan). Silibinin [link] Warrillow, S. Bellomo, R.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EB Medicine

JULY 8, 2019

Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. overall, these surgeries are relatively safe with one 2014 review publishing a 10-17% overall complication rate and a perioperative 30 day mortality of less than 1%. Jeff: Next up is ultrasound.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

NOVEMBER 1, 2023

This is not always feasible in an acute resuscitation scenario. This retrospective observational cohort study looked at whether lactate can be used to predict the need for acute resuscitation in paediatric emergency department (PED) patients. In children who did not need acute resuscitation, the 95th percentile of lactate was 3.2

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

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 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69

Broome Docs

DECEMBER 22, 2024

It’s Not Cyclic Vomiting Syndrome Until Dietl’s is Ruled Out: A Case for Point of Care Renal Ultrasound. 2018 Nov 22;379(21):2002-2014. PMID: 39487597 Dietl’s syndrome – now you know about it! Thom C, Larsen M, Kongkatong M, Ottenhoff J, Moak J. J Emerg Med. 2024 Oct;67(4):e346-e350. doi: 10.1016/j.jemermed.2024.05.003.

Blood Transfusions 52

Blood Transfusions Hospitals Outcomes Emergency Department 52