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Issue #4: The Latest in Critical Care, 6/12/23

PulmCCM

Induced hypothermia after cardiac arrest is also called “active temperature control” or “targeted temperature management.” Many oncologists had already begun using DOACs as secondary prevention in VTE associated with cancer, and this study will likely widen the practice.

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Fox et al in Academic Emergency Medicine found a sensitivity of 52%; with a 95% confidence interval [CI] = 31% to 73%. Do everything you can to support perfusion and avoid the death spiral of hypothermia, coagulopathy, and acidosis.

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A guide to passing MRCP Part 2 written

Mind The Bleep

That might reflect a number of factors, for instance, candidates being further into their medical training, and the exam being more focussed on what they are actually doing on the job rather than theoretical basic sciences & physiology.

EKG/ECG 52
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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Brief Summary of Life Acheivements by Safar : Too numerous to count ; consider the following: Established academic departments of anesthesiology, independent of Surgery. Research into post-arrest after-care, therapeutic hypothermia, reanimatology. Founded first ICU that was multi-disciplinary.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

If you work in a tertiary academic center with a catheterization lab and/or ECMO immediately available, the application of a second defibrillator may not be immediately needed. The above resource limitation applies in the opposite setting and requires a clinical judgement call to be made.

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Grand Rounds Recap 5.3.23

Taming the SRU

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

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The 87th Bubble Wrap

Don't Forget the Bubbles

Samuels-Kalow, Inaccuracy of temporal thermometer measurement by age and race, Academic Pediatrics, (2024) doi:[link] Whats it about? Discordance was defined as one measurement method detecting a fever (>38C) or hypothermia (<36C for patients 28 days or 35C for patients >28 days) while the other method did not.