2021 Hyperthermia / Hypothermia Resuscitation 
Don't Forget the Bubbles
JUNE 30, 2023
Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. d) Hypothermia As you ponder these options, the matron hands you the repeat gas.
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”).
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EMDocs
JUNE 12, 2024
Previous triad of death = hypothermia, acidosis, and coagulopathy. Liver dysfunction, secondary cirrhosis, critical illness, trauma, and hypothermia reduce citrate metabolism. Hypothermia also leads to hypoCa. Calcium and resuscitation Severely injured trauma patients are commonly hypocalcemic.
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.
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.
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. Is he going to be OK?
EM Literature of Note
JANUARY 9, 2022
A Chilling Conclusion to the Hypothermia Debate? Saline Solution on Mortality in Critically Ill Patients No patient-oriented difference in outcomes regardless of fluid choice, although resuscitation volumes were not excessive. Stylet, No?
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