Remove 2021 Remove CPR Remove Shock
article thumbnail

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In trauma patients, the primary sources of bleeding are external haemorrhage (blood on the floor), chest, abdomen, pelvis, and long bones in paediatrics brain is also included (infants with open sutures can bleed a significant amount intracranially) Shock The most common cause in trauma is haemorrhage.

article thumbnail

Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

There was no bystander CPR. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED. "Old Angiogram in 2021 was normal. Patient received 11 shocks by ICD and was in V-fib when EMS arrived. An elderly man collapsed. Old records still had not appeared.

EKG/ECG 133
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Published on November 4, 2021. Bektas, Firat, and Secgin Soyuncu. EMCrit 310 – Transvenous Pacemakers.

article thumbnail

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

10 The score predicts the probability of survival to hospital discharge using a number of factors including CPR duration, serum potassium, core temperature, age, and suspected mechanism of hypothermia. 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR. Accidental Hypothermia: 2021 Update.

article thumbnail

SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Date: August 12th, 2021 Reference: Daya et al. Missy is also now the director […] The post SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

Shock 52
article thumbnail

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

Date: January 5th, 2021 Reference: Grunau et al. Date: January 5th, 2021 Reference: Grunau et al. CPR is currently in progress with a single shock having been delivered. first appeared on The Skeptics Guide to Emergency Medicine. Case: During a busy emergency department (ED) shift the paramedic phone rings.

EMS 52
article thumbnail

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. She arrives in the emergency department (ED) with decreased level of consciousness and shock.

EKG/ECG 52