Emergency Medicine Journal

OCTOBER 26, 2023

Methods We investigated four 18-month periods between 2005 and 2018. Inclusion criteria were non-traumatic cardiac arrests treated with at least one external electric shock with an automated external defibrillator from the basic life support team and resuscitated by a physician-staffed ALS team.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

Emergency Medicine Cases

MAY 22, 2018

The post Ep 110 Airway Pitfalls – Live from EMU 2018 appeared first on Emergency Medicine Cases. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation.

Airway Management 52

Airway Management Resuscitation EMS 52

Pediatric EM Morsels

JUNE 9, 2023

Of course, we all have a healthy respect for post-tonsillectomy hemorrhage and we like to talk about Damage Control Resuscitation. Carneiro de Moura, 2018 ] Seen in 57% of cohort. Banc-Husu, 2023 ; Luoto, 2020; Carneiro de Moura, 2018 ] Basics are best (always)! 2018 Sep;67(3):371-376. Keep patient comfortable.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

ACEP Now

JULY 7, 2023

17,18 Given this, the advent of extracorporeal membrane oxygenation (ECMO) presents an opportunity to bridge care between traditional resuscitation of refractory VF patients in the ED and more definitive management in the catheterization lab. Heart disease and stroke statistics—2018 update: A report from the American Heart Association.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

ACEP Now

OCTOBER 9, 2023

1 The time pressure of trauma resuscitations and the variable severity of injury make obtaining informed consent before a trauma exam difficult. Interviews with patients who experienced trauma resuscitations reveal themes similar to our unspoken professional fears. Chicago, IL: American College of Surgeons; 2018.

Resuscitation 126

Resuscitation Research Stroke Emergency Department 126

EMDocs

JANUARY 11, 2025

If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Disposition: Disposition is dependent on the severity of the presentation, but in most situations, admission is necessary.

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

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. 2018) “Benefits of using the pause after death in emergency departments: a Delphi study”. Resuscitation.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

RebelEM

FEBRUARY 24, 2025

J Invest Surg Sept 2018; PMID: 28952826 Robb J. lactate-targeted fluid resuscitation on regional, microcirculatory and hypoxia-related perfusion parameters in septic shock: a randomized controlled trial. .” Anaesthesia, Pain, Intensive Care and Emergency MedicineAPICE: Oct 1005; PMID: 16356246 Bilgili B, et al. Rudski LG, et al.

Ultrasounds 74

Ultrasounds Shock Fluid Resuscitation Resuscitation 74

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

Ken Grauer, MD

JUNE 6, 2023

He could not be resuscitated. A point may be reached in which even with valve replacement — pulmonary hypertension persists , which serves as a marker for a poor longterm prognosis ( Maeder et al — Frontiers in Cardiovasc Med 5(40):1-15, 2018 ). The plan was to proceed as soon as possible with aortic valve replacement.

EKG/ECG 195

EKG/ECG Hospitals Resuscitation Wellness 195

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. IOs and central lines are also options. link] (2019).

Burns 92

Burns Fluid Resuscitation Resuscitation Poisoning 92

RebelEM

JUNE 26, 2023

Clinical Take Home Point: In adult patients with trauma at risk of massive transfusion, receiving standard trauma resuscitation management, the addition of 4F-PCC did not result in a decrease in blood product consumption over 24 hours compared to placebo. J Trauma Acute Care Surg 2018. Severe acute traumatic coagulopathy = PT >1.5

Administration 139

Administration Outcomes Resuscitation Radiology 139

EMDocs

JANUARY 16, 2024

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

Hyperthermia / Hypothermia 104

Hyperthermia / Hypothermia Resuscitation CPR EMS 104

The Trauma Pro

SEPTEMBER 14, 2023

” This guideline was implemented in 2018-2019, and patients presenting before implementation were compared to those arriving after. Part of the resuscitation process for major trauma involves obtaining a chest X-ray. The 300cc threshold is determined by using Mergo’s formula for calculating the volume of a square prism.

Resuscitation 124

Resuscitation Hospitals Wellness 124

The Skeptics' Guide to EM

FEBRUARY 11, 2024

She is received in the resuscitation room. This study found that between 2003 and 2018, there were 1,299 cases of AAS in Ontario, the largest province in the country. Case: A 66-year-old female with a history of smoking, hypertension, and type-2 diabetes presents to the emergency department (ED) with syncope while walking her dog.

Emergency Department 130

Emergency Department Resuscitation Hospitals EKG/ECG 130

Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

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

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Greater Sydney Area HEMS

FEBRUARY 20, 2024

Anesthesiology 2018; 128 : 38–43. [v] Right Brachiocephalic Vein Origin Access for the Resuscitation of Shocked Adult Trauma Patients. Medicine 2018; 97 : e13661. A retrospective analysis of the clinical effectiveness of supraclavicular, ultrasound-guided brachiocephalic vein cannulations in preterm infants. Green et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

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

RebelEM

NOVEMBER 20, 2023

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. J Spec Oper Med.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

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. Available from: [link] Part 8: Advanced Challenges in Resuscitation Section 3: Special Challenges in ECC. Resuscitation.

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). published in Resuscitation 2011. He is unsuccessfully shocked.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

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. 2018 Apr;44(4):409-417.

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

The Skeptics' Guide to EM

MARCH 2, 2019

JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA? JAMA 2018 * Population: Adults who had a non-traumatic OCHA.

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

EMDocs

OCTOBER 9, 2023

1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. October 19, 2018. Given its mineralocorticoid properties, hydrocortisone is traditionally used for adrenal insufficiency.

Basic Life Support 101

Basic Life Support CPR Fractures Emergency Department 101

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

The Skeptics' Guide to EM

MARCH 11, 2023

A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Date: March 8, 2023 Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

The Skeptics' Guide to EM

SEPTEMBER 1, 2018

[display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. display_podcast] Date: August 22nd, 2018 Reference: Riskin A, Erez A, Foulk TA, et al. Case: You are working in the emergency department (ED) and have just been involved in a difficult case in the resuscitation room. Pediatrics. Pediatrics.

Pediatrics 52

Pediatrics Resuscitation Emergency Department Hospitals 52

Mind The Bleep

DECEMBER 19, 2023

Therefore, they require fluid resuscitation to restore blood pressure, correct the ketonemia and electrolyte abnormalities, and oliguria. Throughout therapy it is important to monitor fluid input and urine output so that fluid resuscitation measures can be adjusted. 2018, November ). Therefore, the dosage would be: 0.05

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

The Skeptics' Guide to EM

FEBRUARY 2, 2019

The Lancet 2018. The Lancet 2018. In neonatal resuscitation oxygen is treated like a drug that should be appropriately dosed, with careful attention to limit its use to the minimum required amount out of a fear of harm from its excess use. The Lancet 2018. Date: January 28th, 2019 Reference: Chu DK et al.

Poisoning 52

Poisoning Administration Hospitals Sepsis 52

The Skeptics' Guide to EM

JUNE 18, 2022

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. Background: The use of fluids in trauma resuscitation has been studied in a number of trials in recent years. What do you advise him?

Shock 40

Shock Resuscitation Administration Emergency Department 40

Taming the SRU

MAY 5, 2023

2018, Kuttab, Lykins et al. Sixty centers participated during the years 2018-2022. There was also an advantage of using MAP as an endpoint, which is a significant advantage as this is a standard resuscitation and hemodynamic end point in routine clinical care of patients in shock. 2019, Evans, Rhodes et al. 2021, Im, Kang et al.

Sepsis 52

Sepsis Shock Administration Resuscitation 52

The Skeptics' Guide to EM

FEBRUARY 24, 2018

[display_podcast] Date: February 14th, 2018 Reference: Venkatesh S et al. NEJM January 2018. Guest Skeptic: Dr. Rory Spiegel (@EMNerd_) is a clinical instructor at University of Maryland, a recent graduate of Stony Brook’s Resuscitation Fellowship, and a current Critical Care fellow at University of Maryland. NEJM January 2018.

Shock 40

Shock Sepsis Emergency Department Resuscitation 40

ACEP Now

JUNE 21, 2023

ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. American board of emergency medicine report on residency and fellowship training information (2017-2018). 15 Some of these training opportunities previously considered unique (i.e., Ann Emerg Med. Jul 2022;80(1):74-83.e8.

EMS 114

EMS Academics Telemedicine Operations 114

The Skeptics' Guide to EM

AUGUST 14, 2021

This was a critical appraisal of an observational study published in Annals of EM ( Kawano et al 2018 ). 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

ACEP Now

NOVEMBER 16, 2023

Fluid resuscitation should be initiated. Stable Patients For both stable and resuscitated patients, high-dose IV proton pump inhibitor therapy (i.e., 13 A 2018 meta-analysis found that terlipressin is comparable with somatostatin, octreotide, and vasopressin in the control of bleeding. 2018:36(4):689-698. Am J Emerg Med.

Best Practices 52

Best Practices Resuscitation Fluid Resuscitation Outcomes 52