JournalFeed

APRIL 24, 2021

It’s the JournalFeed Podcast for the week of Apr 19-23, 2021. We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Seizures Sepsis Leadership 52

PulmCCM

JANUARY 22, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

EM Literature of Note

JANUARY 9, 2022

A Chilling Conclusion to the Hypothermia Debate? link] Effect of Moderate vs Mild Therapeutic Hypothermia on Mortality and Neurologic Outcomes in Comatose Survivors of Out-of-Hospital Cardiac Arrest 31°C was no better than 34°C for improving neurologic outcomes following OHCA. Stylet, No?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

PulmCCM

JUNE 12, 2023

Induced hypothermia after cardiac arrest is also called “active temperature control” or “targeted temperature management.” But the most recent TTM2 trial (NEJM 2021, n=1850) , which was included in the analysis, by itself cast significant doubt on any benefit of temperature management below normothermia.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

The Skeptics' Guide to EM

JULY 3, 2021

Date: July 1st, 2021 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called First10EM.com. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. NEJM 2021 Case: A 58-year-old man collapsed in front of his family. This gives a NNT of 4.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Wellness 52

JournalFeed

JULY 17, 2021

It’s the JournalFeed Podcast for the week of July 12-16, 2021. We cover high risk pediatric bruising, urine concentration and UA accuracy, atrial fibrillation management, shorter NPO time for formula fed infants, and TTM2, which showed normothermia was as good as hypothermia post-arrest.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia 52

Emergency Medicine Cases

JANUARY 18, 2022

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

Anaphylaxis 52

Anaphylaxis EMS Outcomes Hyperthermia / Hypothermia 52

PulmCCM

JANUARY 24, 2024

Background Therapeutic hypothermia, later rebranded as targeted temperature management, became a standard post-cardiac arrest therapy for comatose patients after two 2002 NEJM trials ( n=273 and n=77 ) suggested reducing core temperature to 32°C to 34°C markedly improved neurologic outcomes and survival. Read on for details.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Outcomes Hospitals Stroke 52

Northwestern EM Blog

JUNE 16, 2024

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) Hypothermia Moderate to severe hypothermia can cause significant bradycardia leading to hypotension. 2021, October 1). Hypothermia. link] Farkas, J. EMCrit Project.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Infectious Diseases Stroke Poisoning 52

The Skeptics' Guide to EM

FEBRUARY 27, 2021

Date: February 18th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: February 18th, 2021 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. AEM Feb 2021. AEM Feb 2021.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Administration Research 52

Broome Docs

OCTOBER 31, 2022

Epub 2021 Dec 14. 2022 Jul 26:emermed-2021-211540. doi: 10.1136/emermed-2021-211540. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Emerg Med J. Epub ahead of print. Warm is the new cold?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. 5,6 In 2021, the TTM2 trial was published. 5,6 In 2021, the TTM2 trial was published. degrees Celsius.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Don't Forget the Bubbles

FEBRUARY 5, 2025

In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). Don’t Forget the Bubbles, 2021. When blood products are available, evidence suggests using a balanced approach, transfusing a 1:1:1 FFP:platelets:pRBC ratio. General Medical Council.

Fluid Resuscitation 59

Fluid Resuscitation Domestic Violence Head Injuries Sexual Assault 59

The Skeptics' Guide to EM

MAY 8, 2021

Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. Date: May 7th, 2021 Guest Skeptic: Dr. Ryan Stanton is a community emergency physician with Central Emergency Physicians in Lexington, KY. first appeared on The Skeptics Guide to Emergency Medicine.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Don't Forget the Bubbles

JUNE 30, 2023

In 2021, Evans and colleagues (1) compared adolescent mortality rates in adult, children’s and mixed major trauma centres across the UK. In 2021, Kulvatunyou, Bauman and colleagues compared the insertion of traditional 28-32Fr chest tubes with 14Fr pigtail catheters for drainage of traumatic haemothorax. 2021 Jul;38(7):488-494.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. Date: January 5th, 2021 Reference: Grunau et al. This has included things like therapeutic hypothermia ( SGEM#54 , SGEM#82 , SGEM#183 and SGEM#275 ), supraglottic devices ( SGEM#247 ), crowd sourcing CPR ( SGEM#143 and SGEM#306 ), and epinephrine ( SGEM#238 ).

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Date: August 12th, 2021 Reference: Daya et al. This has included the classic paper from Legend of EM Dr. Ian Stiell on BLS vs. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ).

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

Don't Forget the Bubbles

JANUARY 24, 2024

2021 Jun 3;12:669296. Hypothermia for Neuroprotection in Convulsive Status Epilepticus. 2021 Mar 10;21(6):1535759721999670. Breu M, Häfele C, Glatter S, Trimmel-Schwahofer P, Golej J, Male C, Feucht M, Dressler A. Front Neurol. doi: 10.3389/fneur.2021.669296. 2021.669296. PMID: 34149600; PMCID: PMC8209375. N Engl J Med.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Greater Sydney Area HEMS

APRIL 15, 2023

Don’t forget that every ambulance has a maternity kit with bunny rugs, surgical gown, umbilical cord clamps, nappy, tiny warm hat… Consider reducing the risk of hypothermia by working inside the ambulance, and warming the vehicle, particularly in winter. 2021) Neonatal resuscitation: current evidence and guidelines.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

RebelEM

MARCH 30, 2023

The TOMAHAWK (Desch 2021), COACT (Abella 2019), and PEARL (Lemkes 2019) trials examined patients with OHCA without ST elevation with a shockable rhythm, and investigators found no difference in delayed versus emergency angiogram. Studies stopped early can overestimate results. Additionally, the trial had several biases. Bougouin, W.,

Hospitals 62

Hospitals Outcomes EKG/ECG Resuscitation 62

Taming the SRU

AUGUST 27, 2024

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. J Am Acad Dermatol 2021; 84:1782. Nature 2004; 428:486. MRCP (n.d.).

Emergency Department 83

Emergency Department Dehydration Burns Sepsis 83

Emergency Medicine Cases

MARCH 1, 2022

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on (..)

Sepsis 52

Sepsis EMS Fluid Resuscitation Hyperthermia / Hypothermia 52

Mind The Bleep

DECEMBER 19, 2023

In cases of hypothermia, re-warming can be done passively (with blankets), or active techniques can be implemented in severe cases. References (2021). If fever is present, co-existing infection should be kept as a differential and IV antibiotics should be started as soon as possible. Diabetic Ketoacidosis. 2018, November ). Tasker, R.

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design We conducted an observational retrospective cohort study on patients who visited ED in 2021. Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. 0[0 , 12] HYPOTHERMIA 23 3 11 47.8 This would be valuable in developing automated triage tools and decision support software.

Documentation/Coding 40

Documentation/Coding Sexual Assault Hyperthermia / Hypothermia Head Injuries 40

Don't Forget the Bubbles

JANUARY 10, 2024

These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. 29842 Global status report on blood safety and availability 2021: World Health Organization.

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

Dr. Smith's ECG Blog

MAY 5, 2022

These include ( among others ) — acute febrile illness — variations in autonomic tone — hypothermia — ischemia/infarction/cardiac arrest — and Hyperkalemia. The November 27, 2021 post ( LA-RA reversal ). PEARL # 5: A number of conditions other than Brugada Syndrome may temporarily produce a Brugada-1 ECG pattern.

EKG/ECG 52

EKG/ECG Fluid Resuscitation EMS Shock 52

EMDocs

DECEMBER 16, 2023

Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. Hyperthermia. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management? 1 Fever is usually < 40C.

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

Don't Forget the Bubbles

OCTOBER 28, 2024

How do we prevent hypothermia? Hypothermia is another part of the ‘ diamond of death ’. Care must be taken to avoid the ‘diamond of death’ (coagulopathy, acidosis, hypothermia, and hypocalcemia). doi:10.1136/bmjopen-2021-057780 Hibberd O, Price J, Thomas SH, Harris T, Barnard EBG. Published 2021 Apr 29.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Taming the SRU

APRIL 26, 2023

First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis. West J Emerg Med 2021. April 26, 2023) Acute Hyperthermia in the Emergency Department. References Chiha M, Samarasinghe S, Kabaker AS. Thyroid storm: an updated review. J Intensive Care Med 2015. Resuscitation 2020.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis 52

The Skeptics' Guide to EM

MARCH 5, 2022

AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Research Pediatrics Outcomes 40

Intensive Blog

FEBRUARY 9, 2023

It refers to hypernatraemia, hyperventilation, haemodialysis, and induced hypothermia. Hypothermia Aiming for a lower core temp (35 o C) reduces cerebral metabolic rate and cerebral blood flow. The exact pathophysiology is complex, but an important factor is the accumulation of metabolic toxins such as ammonia. Bellomo, R. 2014, Jan).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Fluid Resuscitation Resuscitation 52

EMDocs

JUNE 27, 2024

2021 Sep;194(5):899-907. Epub 2021 Jul 15. -smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 0.4 Br J Haematol.

Pediatrics 98

Pediatrics Dehydration EMS Hospitals 98

Don't Forget the Bubbles

MARCH 24, 2025

Because Dexmed can blunt these responses, they are particularly vulnerable to hypothermia during its use. Published 2021 Dec 7. 2021 Jun;180(6):1815-1816. Additionally, neonates rely on non-shivering mechanisms, such as vasoconstriction, to regulate their body temperature. How is Dexmedetomidine administered? 2021;2:770511.

Pediatrics 59

Pediatrics Emergency Department Research Hyperthermia / Hypothermia 59

Don't Forget the Bubbles

NOVEMBER 18, 2024

Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. In these situations, it’s crucial to focus on treating the underlying respiratory issue—ensuring adequate oxygenation and ventilation and possibly using inhaled nitric oxide for pulmonary hypertension—rather than just addressing the low blood pressure.

Sepsis 59

Sepsis Shock Hyperthermia / Hypothermia Administration 59

EMDocs

NOVEMBER 6, 2024

Recovery from profound lactic acidosis, hyperthermia, and rhabdomyolysis. Published August 17, 2021. Clin Toxicol. 1970;3(2):267-273. doi:10.3109/15563657008990475 Boyd RE, Brennan PT, Deng JF, Rochester DF, Spyker DA. Strychnine poisoning. 1983;74(3):507-512. doi:10.1016/0002-9343(83)90999-3 Hardin J, Griggs R. The Lancet.

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98

EMDocs

JANUARY 6, 2025

Signs of malnutrition – which places patients at higher risk for infection – can include cachexia, muscular wasting, sunken eyes, redundant skin folds, edema, brittle skin and hair, bradycardia, hypotension, and hypothermia. 2021-0784 Long B, MacDonald A, Liang SY, et al. Published online July 1, 2021. 2024;77:7-16.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75