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. 5 Consider antifungal administration.

Operations 93

Operations Radiology Radiology Fluid Resuscitation 93

Taming the SRU

JULY 2, 2023

An abrupt increase in end-tidal is an indicator of the return of spontaneous circulation (however this can also represent recent administration of bicarbonate). Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care." 1996): 249-251.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. IOs can be used both for resuscitation, medication administration, and for laboratory testing, but there are a few important considerations. 2015 Feb;78(2):295–9.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

The Skeptics' Guide to EM

MAY 21, 2017

His prehospital vital signs were oxygen saturation of 89% and respiratory rate of six breaths per minute prior to administration of oxygen and 1 mg of naloxone. After naloxone administration he is alert and oriented times three with a normal pulse oximetry and clear lung fields. There were two new recommendations.

Emergency Department 52

Emergency Department Administration Academics EMS 52

Northwestern EM Blog

MAY 9, 2022

Therefore, fluid resuscitation and maintenance are important. Delayed Administration and Contraindicated Drugs Place Hospitalized Parkinson’s Disease Patients at Risk. 12 March 2015. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] References 1. Institute for Safe Medication Practices.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

This basically means rapid access to ACLS type resuscitation skills (intubation and intravenous drug therapy). Intravenous drug administration during out-of-hospital cardiac arrest: A randomized trial. Resuscitation 2011 * Hagihara et al. You need to recognize an arrest and activate your EMS system. JAMA 2009 * Jacobs et al.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 2, 2019

The SGEM Bottom Line was that the routine administration of supplemental oxygen in patients with suspected or confirmed acute myocardial infarction who are not hypoxic does not appear to provide a patient-oriented benefit. In acutely ill adults, this same concept is not yet as widespread and liberal administration is still common place.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

PHARM

JUNE 6, 2023

Consecutive sampling of trauma patients who underwent PHEA using a fentanyl, ketamine, rocuronium drug regime were included, 2015–2020. Patients > 55 years old; pre-PHEA tachycardia; multi-system injuries; and intravenous crystalloid administration before arrival of the HEMS team were the variables significantly associated with PIH.

Resuscitation 40

Resuscitation Administration Outcomes 40

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. The optimal Fio2 during the immediate period after cardiac arrest is still debated.

Resuscitation 40

Resuscitation Pediatrics Administration Emergency Nursing 40

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Pediatric Emergency Playbook

AUGUST 1, 2017

2015; 18 Gilmore AW et al. 2015 Jun;50(6):923-7 Herliczek TW et al. Plasma levels of lidocaine following nebulized aerosol administration. Intussusception in Children: Imaging Choices. Semin Roentgenol. 2008; 15-21. Bartocci M et al. Intussusception in childhood: role of sonography on diagnosis and treatment. J Ultrasound.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

EMDocs

SEPTEMBER 25, 2023

First described in 1970, RSI with the near-simultaneous administration of a sedative agent and NMBA has been shown to have increased first-pass success compared with intubation facilitated by a sedative alone (6,7). Resuscitation 2013; 84(11): 1500 – 4. WJEM 2015; 16(7): 1109 – 17. 2015 Dec;30(8):499-504. Am J Emerg Med.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Don't Forget the Bubbles

JULY 3, 2023

This study supports existing evidence that the use of intranasal fentanyl improves the time to administration of analgesia for those with SCD-VOE. Recalling and identifying anatomical landmarks for safe sites for thoracic decompression can be challenging in the pressurised, time-critical trauma resuscitation environment.

Emergency Department 105

Emergency Department Hospitals Domestic Violence Pediatrics 105

Advanced Emergency Nursing from AENJ

AUGUST 19, 2015

Regardless, the successful resuscitation rate is admirable (and as yet, impossible) although the technique is terrible. " Never more so than in the infamous over-the-head resuscitative intra-cardiac injection in Pulp Fiction. It was also confessed that the clipboard was a reminder as to the pronunciation of medical words.

CPR 40

CPR Resuscitation Emergency Nursing Administration 40

Mind The Bleep

MAY 12, 2023

Administration of human albumin solution (HAS) in SBP reduces the incidence of renal failure by 72% and mortality by 47%. In those who are grossly obese, it may be better to employ a more cautious approach with regard to albumin administration. The number needed to treat to prevent one death is around 5 in SBP. On Day 3 (i.e.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 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. 10/20/2013.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

MARCH 31, 2023

Yates Anaphylaxis Pathophysiology Type 1 Hypersensitivity Reaction IgE-mediated Mast-cell degranulation of vasoactive materials Reaction occurs in minutes Clinical Definition: Acute onset of illness with involvement of the skin, mucosal tissue or both + one of the following Respiratory compromise Reduced BP Or, acute onset of illness with at least (..)

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EB Medicine

AUGUST 6, 2019

Jeff: Edoxaban is up next, approved by the FDA in 2015 for similar indications as the other Factor Xa inhibitors. Make sure to get the name, dose, and time of last administration of any DOAC. It may be given as a part of of a balanced massive transfusion resuscitation, but otherwise, at this time, there doesn’t seem to be a clear role.

Emergency Department 40

Emergency Department Stroke Wellness Outcomes 40

EB Medicine

SEPTEMBER 1, 2018

As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Jeff: What a team! But, let’s get back to the snakes. It’s an easy number to remember.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Volume 21, Issue 6, June 2015, Pages 583-590 Perron T, Emara M, Ahmed S. Febrile neutropenia is a condition conveying high mortality. 2014;14:162.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

JUNE 3, 2023

5 Initial Evaluation The key to the initial resuscitation of the unstable pelvic trauma patient is to rapidly identify and treat the most life-threatening pathology. 13 Massive transfusion protocols (MTP) are hallmarks of trauma resuscitation, and they are critical to the unstable pelvic fracture patient.

Fractures 64

Fractures Resuscitation Operations EMS 64

Pediatric Emergency Playbook

JANUARY 1, 2017

CRIES is a 10-point scale, using a physiologic basis similar to APGAR: Crying; Requires increased oxygen administration (distress and breath-holding); Increased vital signs; Expression; and Sleeplessness ( Krechel 1995 ). Once the pain is controlled, less frequent administration of medications, with frequent reassessments, are indicated.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Intensive Blog

FEBRUARY 9, 2023

The timeframe for administration of charcoal post Amanita phalloides poisoning may be up to 48 hours 9. This should be discussed with a toxicologist. Antidotes and specific therapies Silibinin an antidote used in cases of Amanita phalloides poisoning 10. Hepatology, 35 (3), 716-721. link] Nickson, C. Fulminant Hepatic Failure.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EMDocs

JULY 19, 2023

8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated. Food and Drug Administration. Food and Drug Administration. 2015, March 26). This condition is difficult to reverse; supportive measures should be undertaken, with chelation considered. Resources: S. 2018, February 1).

Poisoning 92

Poisoning Fluid Resuscitation Administration Seizures 92

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

Taming the SRU

JANUARY 31, 2025

Moderate evidence it helps in a Cochrane review in 2022 NSAIDs Cochrane review 2020 Acute pain: effective but small change Sciatica: no effect Tylenol BMJ Meta-analysis 2015 Tylenol NOT effective Muscle relaxers 2017 Meta Analysis Effective for acute LBP, unclear for chronic No evidence for benzodiazepines qikt: Acute limb ischemia WITH Drs.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54