FOAMCast Blog

JANUARY 4, 2016

(ITUNES OR LISTEN HERE) Sleep through 2015? TRAUMA FAST (Focused Assessment using Sonography in Trauma) guided resuscitative – thoracotomy. We picked the minds of some brilliant Emergency Medicine folk and came up with this short list of important happenings. Recommended by Haney Mallemat, Rob Orman).

Documentation/Coding 40

Documentation/Coding Resuscitation 40

Don't Forget the Bubbles

JUNE 17, 2024

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.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

MARCH 18, 2025

Resuscitate prior to intubation. Bronchoscopy (Pulmonology/critical care): Used in intubated patients, those too unstable for CT despite resuscitation, or if the source of bleeding is not clear despite other imaging (CT). 2015 Mar;45(3):756-64. Avoid HOP killers: hypotension, hypoxemia, acidemia. Respiration. 2012;83(2):106-14.

COPD 82

COPD Radiology Radiology PPE 82

The Trauma Pro

OCTOBER 6, 2023

At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. This was a big procedure, with the possibility of several major complications, with postop paraplegia being one of them. The concern was that death was nearly certain if the aortic lesion progressed.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

EMDocs

JUNE 12, 2024

Calcium and resuscitation Severely injured trauma patients are commonly hypocalcemic. Giancarelli et al found that 97% of patients who underwent massive transfusion protocols during trauma resuscitation were hypocalcemic (iCa < 1.1 The diamond of death: Hypocalcemia in trauma and resuscitation. Am J Emerg Med. Li K, Xu Y.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Resuscitation Administration Blood Transfusions 105

EMDocs

JUNE 22, 2024

2015 May;28(7):793-8. ” Am J Obstet Gynecol 201(5): 445 e441-413. link] Fong A, Chau CT, Pan D, Ogunyemi DA. Amniotic fluid embolism: antepartum, intrapartum and demographic factors. J Matern Fetal Neonatal Med. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30. PMID: 24974876. Young BK, Florine Magdelijns P, Chervenak JL, Chan M.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

Mind The Bleep

OCTOBER 29, 2024

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. 2015 Jun;11(2):227-31. Sodium Chloride or Hartmanns if indicated, monitoring for signs of shock. J Toxicol Clin Toxicol. 1993;31(2):307-13.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

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

Don't Forget the Bubbles

JUNE 30, 2023

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Emergency Medical Services found her apneic and pulseless. C and remained pulseless.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

ALiEM

APRIL 12, 2023

Ever finally step away from a busy resuscitation and someone stops you for peripheral IV access? You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. No problem. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin.

Ultrasounds 103

Ultrasounds Emergency Department Resuscitation Wellness 103

PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

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. 2015 Jan;50(1):177-81. 2015 Oct 19.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

RebelEM

SEPTEMBER 23, 2024

You decide to intubate the patient after resuscitation. Opponents of ketamine often point to the risks of spiking intracranial pressure but this concern has been widely debunked ( Cohen 2015 ). Ann Emerg Med 2015; 65(1): 43-51. Clinical Scenario: A 48 year old man presents with fever, hypotension, hypoperfusion and hypoxemia.

EMS 74

EMS Resuscitation Outcomes Wellness 74

PHEM Cast

DECEMBER 12, 2016

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

ACEP Now

NOVEMBER 7, 2024

In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel. Scientific Rigor Red Cross resuscitation courses closely align with the International Liaison Committee on Resuscitation (ILCOR) recommendations. It also offers a comprehensive “CPR for the Professional Rescuer” course.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

Broome Docs

MARCH 28, 2024

Resuscitation. Casey wrote a protocol for peripheral noradrenaline 9 years ago… in 2015! Small BVMs: When physiologic theory fails Snyder BD, Van Dyke MR, Walker RG, Latimer AJ, Grabman BC, Maynard C, Rea TD, Johnson NJ, Sayre MR, Counts CR. 2023 Dec;193:109991. doi: 10.1016/j.resuscitation.2023.109991. 2023.109991.

PPE 96

PPE Ultrasounds Resuscitation Emergency Department 96

Pediatric Emergency Playbook

MARCH 1, 2017

2015 Apr;25(4):346-62. Resuscitation. 2015 Apr;25(4):334-45. 2015 Sep;62(9):1000-16. Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation. 2015 Dec;28(6):717-26. Can J Anesth. Luce V et al.

Airway Management 52

Airway Management Pediatrics Resuscitation Hospitals 52

PHEM Cast

JULY 6, 2017

Anatomy The Guidelines Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia, 115 (6): 827–848 (2015) doi:10.1093/bja/aev371 For more information, have a look at the Difficult Airway Society website. Click here to go straight to their page. Frerk et al.

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." Circulation 132.18_suppl_2 (2015): S315-S367. Pediatric emergency care 12.4 1996): 249-251. Neumar, Robert W., Waugh, Jonathan B., Epps, and Yulia A.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Don't Forget the Bubbles

NOVEMBER 15, 2023

In a PICU setting, sodium can come from various sources (resuscitation fluids, IV drugs and infusions, enteral feed), not just the maintenance fluids we prescribe. There is growing interest in giving no maintenance fluid and using the input from drug infusions and resuscitative boluses only. Most drugs are chosen to be dissolved in 0.9%

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

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. J Trauma Acute Care Surg 2015 Apr;78(4):721-8 4.

Hospitals 52

Hospitals Resuscitation Shock Military 52

PHEM Cast

JUNE 6, 2016

Resuscitation Council UK. The Royal College of Obstetricians and Gynaecologists (RCOG) green top guideline is accessible here: [link] We have talked about ramping previously, in Episode 6: Oxygenation. Parry R, Asmussen T, Smith JE. Perimortem caesarean section.

Resuscitation 52

Resuscitation 52

Emergency Medicine Journal

MARCH 21, 2024

This is a single-centre, retrospective, database review of all deaths occurring in our ED between 1 January 2015 and 31 December 2019. Patients who had no resuscitation in the. Our hospital is a major trauma centre in the Southwest of the UK. It sees the expected spectrum of emergency presentations in all ages.

Resuscitation 52

Resuscitation Hospitals 52

PHEM Cast

FEBRUARY 23, 2017

Prehospital Blood Product Resuscitation for Trauma. J Trauma Acute Care Surg 78(5):1014–1020, 2015. Prehosp Emerg Care 19(1):1–9, 2015. 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!

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

Taming the SRU

JUNE 24, 2024

MedEdPORTAL Publications; 2015. Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. Transvenous Cardiac Pacemaker Educational Resource. Available from: [link] Siamak Moayedi, Priya Patel, Nicholas Brady, Michael Witting, Timm-Michael L.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

Advanced Emergency Nursing from AENJ

JULY 29, 2015

July 29, 2015. James Jude, MD James Jude, MD, early Pioneer in Cardiac Resuscitation, developer of External Chest Compressions, and "father of modern cardiopulmonary resuscitation" dies at age 87, on July 28, 2015, "of complications from a rare Parkinson’s disease-related ailment. McSwain, Jr.,

CPR 40

CPR Emergency Nursing Resuscitation EMS 40

RebelEM

MARCH 30, 2023

Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. Article: How-Berlemont C, Lamhaut L, Diehl J, et al. Empana, J.-P.,

Hospitals 62

Hospitals Outcomes EKG/ECG Resuscitation 62

The Skeptics' Guide to EM

MAY 25, 2019

Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery March 2019.

Military 52

Military Resuscitation PPE 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

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; 2015.

Operations 95

Operations Radiology Radiology Fluid Resuscitation 95

PHEM Cast

JULY 27, 2021

2015 Marik PE, Cavallazzi R. Kenji Inaba. Does central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

The Skeptics' Guide to EM

MAY 20, 2023

They started cardiopulmonary resuscitation (CPR) until EMS arrived. However, we have not covered the Therapeutic Hypothermia after Out-of-Hospital Cardiac Arrest (OHCA) in Children or THAPCA-OH published in the New England Journal of Medicine in 2015. He had been having some upper respiratory symptoms in the previous days.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

The Skeptics' Guide to EM

MAY 21, 2017

The American Heart Association (AHA) discussed opioid overdoses and the use of naloxone Part 10: Special Circumstances of Resuscitation in their 2015 Guidelines (3). CanadiEM summarized the Top 5 changes to AHA 2015 Guidelines in a series of infographics (4). There were two new recommendations.

Emergency Department 52

Emergency Department Administration Academics EMS 52

Taming the SRU

JULY 24, 2023

Patients should be resuscitated as deemed appropriate. 2015 Oct;16(5):509-12. Epub 2015 Sep 16. Whereas most patients may appear toxic or have days of progressively worsening pain due to peritonitis, others may have prompt resolution of their pain due to local containment of a pericholecystic abscess. 2018;34(2):132-136.

Ultrasounds 79

Ultrasounds Sepsis Radiology Radiology 79

Northwestern EM Blog

MAY 9, 2022

Therefore, fluid resuscitation and maintenance are important. 12 March 2015. Any life-threatening hyperthermia should be treated immediately with an ice bath.[2] 2] Rigidity will lead to rhabdomyolysis with subsequent hyperkalemia and myoglobin-induced renal failure. In terms of pharmacotherapy, benzodiazepines are universally used.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric 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). Resuscitation 2011 * Hagihara et al. There are five steps in the Chain-of-Survival for OHCA: Most of us can agree with the first three steps. You need to recognize an arrest and activate your EMS system.

CPR 52

CPR Academics Resuscitation Hospitals 52

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

AHA gives focused recommendations ​. ​ ​​ The International Liaison Committee on Resuscitation (ILCOR) has for some years been meeting and agreeing upon resuscitation practices every five years; in addition to which there is the necessary slack time before and after each meeting to produce and disseminate the newly appropriate course materials. ."

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40