Pediatric EM Morsels

OCTOBER 27, 2023

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.”

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

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

ACEP Now

JANUARY 13, 2024

Those of us who were on shift at the time of the suicide attempted to resuscitate our colleague while still treating many other sick patients simultaneously. A tornado of organized chaos managed to transport him to the resuscitation bay as the tasks of life-saving maneuvers began.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

Mind The Bleep

NOVEMBER 23, 2023

Management Steps Step 1 – Mother/Father’s kiss Instructions: Place your mouth over the child’s open mouth, creating a secure seal as you would during mouth-to-mouth resuscitation. Always prioritise patient safety; if in doubt, don’t hesitate to seek help from the on-call ENT team. References www.bsg.org.uk/wp-content/uploads/2020/11/flgastro-2020-101450.full_.pdf

Patient Safety 52

Patient Safety Resuscitation Outcomes 52

EMDocs

SEPTEMBER 25, 2023

This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23). Case Resolution: The patient was placed on NIPPV. The patient was placed in a semi-fowler’s position and given 0.4mg/kg of midazolam. Epub 2020 Dec 9.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

Taming the SRU

MAY 5, 2023

Recent meta-analyses and systematic reviews evaluating mortality in patients with septic shock reported mortality as high as 35% and 38% at 30 and 90 days, respectively (Vincent, Jones et al. Effect of an Early Resuscitation Protocol on In-hospital Mortality Among Adults With Sepsis and Hypotension: A Randomized Clinical Trial."

Sepsis 52

Sepsis Shock Administration Resuscitation 52