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The Broselow-Luten System

Pediatric EM Morsels

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. This system has now become the “ industry standard.”

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

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ECG Blog #415 — The Cath showed NO Occlusion!

Ken Grauer, MD

The ECG in Figure-1 was obtained following successful resuscitation. Stat Echo — obtained shortly after successful resuscitation revealed anterior wall akinesis. Figure-1: The initial ECG in today's case — obtained after successful resuscitation from cardiac arrest. ( Is this ECG finding present in today’s initial ECG?

EKG/ECG 390
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The UK-REBOA trial

First 10 EM

REBOA (resuscitative endovascular balloon occlusion of the aorta) has been discussed in the emergency medicine world for quite some time now, but always with very limited data. Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM. (Norii 2015, […] The post The UK-REBOA trial appeared first on First10EM.

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Best Pearls and Biggest Trends of 2015

FOAMCast Blog

(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).

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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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Early Vs Delayed Thoracic Endovascular Repair

The Trauma Pro

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.