RebelEM
MAY 25, 2023
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%
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.”
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ACEP Now
NOVEMBER 6, 2024
Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. 2 These rare scenarios are difficult to prepare for; resuscitation guidelines are not strictly followed in more than 90 percent of cases. Neonatal resuscitation is common; 10 percent of the four million newborns in the U.S. 3 Click to enlarge.
Ken Grauer, MD
JUNE 27, 2024
Despite prolonged resuscitation with multiple defibrillation attempts — the patient could not be saved. = See My Comment in the June 1, 2020 post in Dr. Smith's ECG Blog — for review of Pleomorphic VT. That said, it does occur — and awareness of the entities associated with this diagnosis may be important in evaluation and treatment.
Dr. Smith's ECG Blog
JULY 14, 2023
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. Finally, head-up CPR (which was not used here), makes for better resuscitation.
Sensible Medicine
MARCH 14, 2025
The only problem was that the patient population would change over the course of the study – the unscreened population was studied mostly in 2019 and early 2020 while the screened population was mostly late 2020 early 2021. Thus, the results would have to be adjusted. These alerts only were reported in the screening group).
Ken Grauer, MD
APRIL 26, 2024
Unfortunately the patient arrested before catheterization could be completed — and could not be resuscitated. Recognizing hyperacute T waves — patterns of leads — an OMI ( though not a STEMI ) — See My Comment at the bottom of the page in the November 8, 2020 post on Dr. Smith's ECG Blog.
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