The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Case: A 51-year-old man experiences a cardiac arrest on the street. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. JAMA 2009, Hagihara et al.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

SheMD

MAY 11, 2023

This study focused on gender differences in CPR performance and trialed an intervention to impact the leadership behaviors of female medical students. CPR-related performance items were coded by the second as present or absent. 2017; 177(2): 206- 213. Tsugawa Y, Jena AB, Figueroa JF, Orav EJ, Blumenthal DM, Jha AK.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

AED Leader

NOVEMBER 25, 2024

Effective January 1, 2017, the state’s Health and Safety Code 19300 mandates that certain high-occupancy buildings must install Automated External Defibrillators (AEDs). When paired with CPR, AEDs can triple a victim’s chances of survival. Check out our CPR and AED Training Programs for more information.

CPR 52

CPR Documentation/Coding Shock Hospitals 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

A:Stab wound to the chest, CPR for 35 minutes B: Isolated significant head injury with blown right pupil, CPR for 10 minutes C: Avoid hypothermia D: Avoid acidosis E: Replace cryoprecipitate to target normal fibrinogen Answer 6 The correct answer is D. General Medical Council. Confidentiality: Reporting Gunshot and Knife Wounds.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. This is a critically important determination because of the 2017 AHA/ACC/HRS Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. When EMS arrived the patient was in ventricular fibrillation.

EKG/ECG 118

EKG/ECG CPR EMS Hospitals 118

Don't Forget the Bubbles

NOVEMBER 29, 2023

This is referred to as CPR I nduced C onsciousness ( CPRIC ). Journal of Neurosurgical Anesthesiology 29(2): p 161-167, April 2017. | In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. DOI: 10.1097/ANA.0000000000000275 Bissonnette, B.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

JUNE 4, 2017

[display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. Immediate total-body CT scanning versus conventional imaging and selective CT scanning in patients with severe trauma (REACT-2): a randomised controlled trial. Lancet August 2016.

Radiology 52

Radiology Radiology CPR Hospitals 52

Taming the SRU

OCTOBER 1, 2023

Common causes include central venous catheterization (subclavian or internal jugular), lung biopsy, barotrauma from PPV, thoracentesis, bronchoscopy, pacemaker insertion, CPR, and intercostal nerve block [12, 14]. doi:10.1155/2017/6014967 Light RW. Published 2017 Sep 7. References Onuki T, Ueda S, Yamaoka M, et al. Can Respir J.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Taming the SRU

JULY 2, 2023

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. 2017): 829-842. Continuous monitoring allows for rapid recognition of tube displacement. The Journal of emergency medicine 53.6 Whitaker, D.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. In most paediatric cardiac arrests, the primary cause is respiratory – not so in cases of electrocution.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. A pediatric submersion score was developed and validated in 2017 identifying five factors that, if present, suggest safe discharge from the ED after an eight-hour observation period.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

[display_podcast] Date: November 24th, 2017 Reference: Andersen et al. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force. display_podcast] Date: November 24th, 2017 Reference: Andersen et al. JAMA 2017 Guest Skeptic: Dr. Bob Edmonds is an Emergency Physician in the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

Don't Forget the Bubbles

MAY 10, 2023

They’re getting CPR. 2017; 55(5); 449-453. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know what to do, in principle, but you’ve never seen one before. …You burst into resus. A teenager lies on the resus trolley. Your eyes are drawn to their chest. They have been stabbed. Andenæs, E.,

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Don't Forget the Bubbles

JULY 26, 2023

Upside-down position for the out of hospital management of children with SVT, Bronzetti et al, International Journal of Cardiology 2017 this showed that a modified position (upside down) improved cardioversion rates from 33% to 67%. Mum (first aid trained) gave back blows and started CPR.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

RebelEM

MARCH 30, 2023

PMID: 35675081 What They Did: National, multicenter, randomized control, open-label parallel trial performed at 22 centers in FrancePatients enrolled from January 19, 2017 – November 23, 2020. Published online June 08, 2022. Only 51 of 138 patients randomized to the delayed CAG received the allocated intervention.

Hospitals 66

Hospitals Outcomes EKG/ECG Resuscitation 66

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