EMDocs

SEPTEMBER 6, 2023

Resuscitate and administer antibiotics. Considerations when patients continue to decompensate despite resuscitation and vasopressors: acidosis, endocrine issues like adrenal insufficiency or hypothyroidism, hypocalcemia, anaphylaxis, hemorrhage, multiple causes of shock, ingestion. 2016 Apr;34(4):694-6. ROS unremarkable.

Anaphylaxis 97

Anaphylaxis Shock Sepsis Stroke 97

EMDocs

JANUARY 25, 2025

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. Geneva: World Health Organization; 2016. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation. 2nd edition. 2, CLINICAL GUIDELINES: HIV DIAGNOSIS.

EMS 96

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 96

EMDocs

JUNE 25, 2024

Fluid resuscitation target and fluid Fluid resuscitation is one of the most important parts of management; goal is to increase intravascular volume and ensure end organ perfusion. Calculating fluid resuscitation: Parkland formula: 4 mL X % TBSA X weight in kilograms. 2016 Aug;42(5):953-1021. Total amount over 24 hours.

Burns 98

Burns Fluid Resuscitation Resuscitation Poisoning 98

EMDocs

JUNE 22, 2024

“Amniotic fluid embolism.” ” Obstet Gynecol 123(2 Pt 1): 337-348. link] Society for Maternal-Fetal Medicine. Electronic address, p. “Amniotic fluid embolism: diagnosis and management.” ” Am J Obstet Gynecol 215(2): B16-24. link] j.ajog.2016.03.012 2016.03.012 Patel, P.,

EMS 111

EMS Resuscitation Blood Transfusions Seizures 111

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. 2016) “Implementation of a Post-Code Pause: Extending Post-Event Debriefing to Include Silence”.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Emergency Medicine Journal

OCTOBER 26, 2023

Background Extracorporeal cardiopulmonary resuscitation (ECPR) is a treatment method for refractory out-of-hospital cardiac arrest (OHCA) requiring a complex chain of care. However, every fourth ECPR candidate and every third patient who received ECMO-facilitated resuscitation at the hospital survived with a good neurological outcome.

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

RebelEM

SEPTEMBER 9, 2024

Neonatal resuscitation in the delivery room. Cardiopulmonary resuscitation. Philadelphia, PA: Wolters Kluwer; 2016:27–54. 100% 21% 30% 50% References Fernandes CJ. Post TW, ed. UpToDate Inc. Accessed August 15, 2020. link] Myers SR, Schinasi DA, Nadel FM. In: Shaw KN, Bachur RG, eds.

Resuscitation 58

Resuscitation Emergency Department Pediatrics EMS 58

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

MAY 10, 2023

Resuscitation is a team sport. Role stickers or role aprons with names on them are simple measures to highlight resuscitation roles. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. It was the most phenomenal resuscitation.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

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. Circulation.

Emergency Department 95

Emergency Department Blood Transfusions Resuscitation Sepsis 95

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. Proning makes the heart rest against the sternum, and the diaphragm is displaced inferiorly. Should we prone non-intubated patients in the ED? 2020; Koulouras et.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

RebelEM

SEPTEMBER 26, 2022

What They Did Single-center randomized controlled study design performed by the Department of Hepatology & Liver transplantation in New Delhi Study participants, investigator clinicians, data collectors, and data analysts were blinded Investigators recruited participants from February 27, 2016 – March 3, 2018.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Don't Forget the Bubbles

OCTOBER 7, 2024

Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Volume resuscitation in patients with high-voltage electrical injuries. Wiley; 2016. Available from: [link] Part 8: Advanced Challenges in Resuscitation Section 3: Special Challenges in ECC.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

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

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. 2016 Dec 14;20(1):102. Am J Emerg Med.

Emergency Department 92

Emergency Department Ultrasounds Administration Burns 92

PHEM Cast

JUNE 6, 2016

Resuscitation Council UK. 2016; 33: 224-229. Parry R, Asmussen T, Smith JE. Perimortem caesarean section. Clark SL, Cotton DB, Pivarnik JM et al. Position change and central hemodynamic profile during normal third trimester pregnancy and post partum.

Resuscitation 52

Resuscitation 52

PHEM Cast

FEBRUARY 23, 2017

In systems in which a potentially less harmful resuscitation strategy can be delivered sooner – PH systems with packed red cells / fresh frozen plasma / whole blood or freeze dried plasma, then it seems pragmatic to aim for normotension (predicted normal blood pressure) sooner in the patient’s care timeline than we have been e.g. at one hour.

Blood Transfusions 52

Blood Transfusions Head Injuries Resuscitation Radiology 52

PHEM Cast

JANUARY 4, 2017

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model.

Teamwork 52

Teamwork Burns Emergency Department Resuscitation 52

Taming the SRU

JUNE 24, 2024

Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. Bektas, Firat, and Secgin Soyuncu. The efficacy of transcutaneous cardiac pacing in ED.” The American Journal of Emergency Medicine , vol. 2090–2093, [link] Moayedi, Siamak, et al. Circulation , vol. 1103–1104, [link] Cousar J, Bohanske M, Hill J.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

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

PHEM Cast

MARCH 17, 2016

2016: 28(1); 67-72. Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. 2016; 193(3): 273-280. 2016 [cite Date Accessed]. Emergency Medicine Australasia. Journal of Emergency Medicine. 2006: 30(1); 63-67. Oxygenation. Available from: [link]

Airway Management 52

Airway Management Burns Emergency Department Resuscitation 52

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

Dr. Smith's ECG Blog

APRIL 30, 2024

He was resuscitated into a perfusing rhythm. A patient was found down approximately 30 minutes after taking methamphetamine. Bystander CPR. Medics found patient in PEA arrest. He went in and out of arrest until arrival at the ED.

EKG/ECG 108

EKG/ECG EMS CPR Resuscitation 108

The Skeptics' Guide to EM

JUNE 24, 2017

Circulation 2016. Circulation 2016. They arrive quickly and take over the resuscitation. Two relatively small randomized control trials published in the NEJM showed that hypothermia post cardiac arrest resuscitation was neuroprotective ( Bernard et al and The Hypothermia after Cardiac Arrest Study Group ).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

ACEP Now

NOVEMBER 7, 2023

8-12 A recent scoping review published in The American Journal of Emergency Medicine reviewed articles between 2016 and 2019, and found 18 observational studies, which failed to demonstrate sufficient evidence for widespread implementation of DSED. Resuscitation. Resuscitation. Resuscitation. Resuscitation.

Resuscitation 52

Resuscitation Hospitals Shock CPR 52

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 2016 Dec;12 (4):416]. PubMed PMID: 34219543. American College of Medical Toxicology.

Poisoning 92

Poisoning Seizures Pediatrics EMS 92

EB Medicine

FEBRUARY 13, 2017

For the first episode, we are going to focus on one of the most popular articles from last year, the October 2016 issue, entitled “Optimizing Survival Outcomes For Adult Patients With Nontraumatic Cardiac Arrest.” Welcome to the inaugural episode of EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice journal.

Outcomes 40

Outcomes Resuscitation Shock 40

PHEM Cast

APRIL 10, 2016

March 2016. The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. St Emlyns Induction podcast on Sepsis. Am J Emerg Med.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Injectable Orange

JUNE 20, 2017

References: Brazil, Spurr, Petrosoniak, Simulcast Episode 5, November 2016 – Put the Rubber to the Road [link] Life in the Fast Lane, Critical Care Compendium – In Situ Simulation, revised November 2016. Mental practice: a simple tool to enhance team-based trauma resuscitation. 2016 Mar;18(2):136-42. Eppich (2016).

Head Injuries 52

Head Injuries Documentation/Coding Wellness 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. 10/20/2013.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

The Skeptics' Guide to EM

AUGUST 14, 2021

This was the ALPS randomized control trial published in NEJM 2016. Circulation 2020 * Population: Adult patients with non-traumatic out-of-hospital cardiac arrest and shock refractory ventricular fibrillation or pulseless ventricular tachycardia after one or more shocks anytime during resuscitation.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

The Skeptics' Guide to EM

DECEMBER 16, 2017

NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. NEJM Dec 2016 Guest Skeptic: Dr. Neal Little is an Emergency Physician who works at Chelsea Hospital in Chelsea, Michigan. [display_podcast] Date: November 27th, 2017 Reference: Legriel et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Taming the SRU

MARCH 30, 2023

Background Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. and hepatic encephalopathy), advanced liver cirrhosis, atrial fibrillation, presence of ventricular dysrhythmia, use of pacemaker, and those with do-not-resuscitate orders. 1967;165(4):504-17.

Shock 52

Shock Outcomes Sepsis Resuscitation 52

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

EMDocs

JANUARY 4, 2024

Use of lipid emulsion in the resuscitation of a patient with prolonged cardiovascular collapse after overdose of bupropion and lamotrigine. Comparison of Resuscitative Protocols for Bupropion Overdose Using Lipid Emulsion in a Swine Model. 2016 May;181(5):482-7. Basic Clin Pharmacol Toxicol. 2011; 109: 418-422. Ann Emerg Med.

Seizures 94

Seizures EKG/ECG Poisoning Shock 94

Don't Forget the Bubbles

AUGUST 7, 2023

Resuscitation Council UK. NICE; 2016 [cited 2023 Mar 28]. Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment. Emerg Med J. 2021 Feb;38(2):132–8. Paediatric advanced life support Guidelines [Internet].

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

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. 2016 Sep 15;375(11):1033-43. Epub 2016 Jun 8. Neurosurgery takes the patient to surgery after the CT angiogram suggests aneurysmal rupture. .;

Stroke 101

Stroke Outcomes EMS Seizures 101