RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. However, it is unclear if all degrees (mild, moderate, severe) of DKA require the same intensive treatment. tests/hr (0.8 Traditional: 1.0 tests/hr (0.8 Pre-Intervention: 1.0 tests/hr (0.9 Pre-COVID: 1.0

Operations 102

Operations Academics Fluid Resuscitation Outcomes 102

ACEP Now

JULY 7, 2024

My current practice is a hybrid of academic and community sites, and I have worked in myriad community hospitals from busy ones to single coverage critical access hospitals. If you are single coverage right off the bat, you need to be familiar with your facility’s OB, peds, and difficult airway resuscitation equipment and resources.

Resuscitation 98

Resuscitation Risk Management Hospitals Critical Access 98

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine. Academic Emergency Medicine. Resuscitation 2011 * Hagihara et al.

CPR 52

CPR Academics Resuscitation Hospitals 52

Dr. Smith's ECG Blog

APRIL 24, 2015

ST depression is common BOTH after resuscitation from cardiac arrest and during atrial fib with RVR. Again, it is common to have an ECG that shows apparent subendocardial ischemia after resuscitation from cardiac arrest, after defibrillation, and after cardioversion. Academic Emergency Medicine 17(s1):S194; May 2010

Resuscitation 52

Resuscitation EKG/ECG Academics Hospitals 52

EM SIM Cases

JUNE 11, 2024

Why It Matters This case highlights an uncommon, but clinically and academically important toxidrome. He looks so unwell that he is placed into the resuscitation bay. He has interests in simulation education and has developed the simulation education program for the new emergency medicine residency program.

Poisoning 52

Poisoning PPE Academics Resuscitation 52

PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. Initial Management and Resuscitation of Severe Chest Trauma. Injury , 39 (1), 9–20. link] Givens, M. link] Harcke, H.

Academics 52

Academics Radiology Radiology Resuscitation 52

Dr. Smith's ECG Blog

AUGUST 2, 2024

Yet recognition of acute RV MI is extremely important clinically — because emergency treatment will often require different priorities (ie, avoidance of nitroglycerine; fluid resuscitation for hypotension ).

EKG/ECG 118

EKG/ECG Fluid Resuscitation Academics Resuscitation 118

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

A 50 yo was resuscitated from ventricular fibrillation. KEY Point: Prediction of the "culprit" artery is more than just an academic exercise: I believe trying to predict the culprit artery improves our ability at ECG interpretation — because it forces us to correlate ECG findings in all 12 leads with the clinical situation.

EKG/ECG 109

EKG/ECG Wellness Academics Resuscitation 109

The Skeptics' Guide to EM

NOVEMBER 23, 2019

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. In addition, patients with hemodynamic instability may not be appropriate to take out of the resuscitation bay. AEM November 2019 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia.

Ultrasounds 52

Ultrasounds Emergency Department Academics Outcomes 52

ACEP Now

NOVEMBER 16, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. A fourth year of EM training offers additional supervised clinical and academic experience. Academic career preparation for residents – are we on the right track?

Academics 52

Academics EMS Telemedicine Research 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). We reviewed the Cournoyer et al cohort study as part of the #SGEMHOP series with Academic Emergency Medicine ( AEM ). published in Resuscitation 2011. He is unsuccessfully shocked.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

Emergency Medicine Journal

JANUARY 22, 2024

This month’s update is by the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. This systematic review and meta-analysis compared the use of supraglottic airways.

Airway Management 40

Airway Management Military Academics Resuscitation 40

EM SIM Cases

DECEMBER 15, 2023

Dominique Piquette, academic Intensivist at Sunnybrook Hospital in Toronto, Ontario with updates from Dr. Sameer Sharif (Hamilton Health Sciences, Hamilton, Ontario) and Dr. Sophie Ramsden (Emergency Medicine Resident, McMaster University, Hamilton, Ontario) Why it Matters Major trauma patients sometimes decompensate after initial resuscitation.

Fractures 40

Fractures Resuscitation Academics Shock 40

PHEM Cast

APRIL 10, 2016

It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Northwestern EM Blog

MARCH 1, 2025

Hemodynamic instability and ongoing cardiac arrhythmias are a strong contraindication as chest access for cardiopulmonary resuscitation is limited (Koulouras et. Academic Emergency Medicine. Blog Post References Caputo, N.D., Strayer, R.J., Levitan, R. 27(5): 375-378. Diamond, M. Peniston, H.L., Sanghavi, D., Mahapatra, S. StatPearls.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

EM SIM Cases

FEBRUARY 15, 2023

The resuscitation team is expected to recognize and manage myasthenic crisis with respiratory failure, with consideration for airway management with an anterior mediastinal mass. These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable.

Airway Management 40

Airway Management Academics Resuscitation Hospitals 40

Taming the SRU

JULY 24, 2023

General surgery was consulted, and given the patient's significant comorbidities, he was transferred to a tertiary care academic center for further evaluation and management. Patients should be resuscitated as deemed appropriate. The following day, Interventional Radiology placed a percutaneous cholecystostomy tube.

Ultrasounds 80

Ultrasounds Sepsis Radiology Radiology 80

Don't Forget the Bubbles

MAY 6, 2024

The study included academic NICUs, which may reduce the generalisability of the results. The mean time to randomisation was 2 hours, which excludes the initial resuscitation window. However, this study did not include the acute resuscitation period or non-ventilated children. 1872 children (mean age 2.5

Sepsis 75

Sepsis Pediatrics Outcomes Documentation/Coding 75

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. After resuscitation and defibrillation , there were no more episodes of TdP. That said — rhythm interpretation here is more of an academic interest — as the most striking findings are the widespread T-wave inversions and QT prolongation.

EKG/ECG 67

EKG/ECG Resuscitation Academics Operations 67

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

DECEMBER 19, 2022

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. With everything just mentioned considered, DED, in addition to other resuscitative therapies, should still be used for patients in RVF. N Engl J Med.

EMS 52

EMS CPR Shock Resuscitation 52

ACEP Now

MARCH 13, 2024

Being an academic myself, a lot of people are like, “Why all this free labor?” We launched a resuscitation module, knowing full well that if there’s one thing that emergency physicians should be doing well, it’s being able to manage resuscitation. And I also saw ABEM, their revenue went up $7 million.

Resuscitation 59

Resuscitation Wellness Academics EMS 59

RebelEM

JUNE 8, 2023

PMID: 36108346 Clinical Question: What is the efficacy and safety of peripherally administered push dose pressors for the treatment of acute hypotension?

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

EM SIM Cases

JANUARY 10, 2023

His academic interests are in education, simulation, and translational simulation; including where simulation can improve hospital and emergency department preparedness. This case comes from Dr. Mark McKinney from the University of Ottawa. He completed a fellowship in simulation through the U of O Skills and Simulation Centre.

Academics 40

Academics Emergency Department Hospitals Resuscitation 40

RebelEM

FEBRUARY 2, 2023

2018 American Heart Association Focused Update on Advanced Cardiovascular Life Support Use of Antiarrhythmic Drugs during and Immediately after Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” PMID: 36115743 Panchal, Ashish R., Circulation , 5 Nov.

Emergency Department 52

Emergency Department Administration Dehydration EMS 52

Don't Forget the Bubbles

SEPTEMBER 5, 2024

In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. PMID: 38759251. What’s it about? 361,755 children (<18 years) were included in the study.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Mind The Bleep

JULY 8, 2023

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

EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

RebelEM

SEPTEMBER 14, 2023

At our institution patients do not go for diagnostic heart catheterization and then get put on ECMO, they are initiated on ECMO during the time of their initial resuscitation and then go for heart catheterization once they are stabilized. Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 Control 3.8%

Shock 136

Shock Outcomes Resuscitation Stroke 136

ACEP Now

APRIL 9, 2025

Dr. Seng has been a practicing Emergency Medicine physician for 12 years and works at several community and academic departments across Central California.

Emergency Department 52

Emergency Department Administration EKG/ECG Resuscitation 52

Taming the SRU

OCTOBER 1, 2024

It is okay to progress at your own pace. Anterior fat pads can be normal Galeazzi injuries are a radial shaft fracture with an ulna dislocation whereas Monteggia injuries are ulna fractures with radial dislocations Scaphoids injuries are prone to avascular necrosis due to variable blood supply r2 cpc: Acute Salicylate toxicity WITH drs.

Dislocations 75

Dislocations Fractures Poisoning Academics 75

Northwestern EM Blog

SEPTEMBER 26, 2022

In this post, we will give a brief overview of a landmark study in the ED debrief literature, which advocates for a “hot” debrief model in resuscitation cases using the STOP5 model. Any team member of the resuscitation may lead the hot debrief. No potential resuscitation cases were formally excluded. References 1. Www.Heart.Org.

Resuscitation 52

Resuscitation Emergency Department Academics Wellness 52

EM SIM Cases

MARCH 14, 2023

This primer on Rapid Cycle Deliberate Practice was written by academic pediatric emergency medicine specialist and simulation guru Dr. Quang Ngo. The Problem Sam is on faculty at an academic pediatric residency program with an interest in simulation enhanced education.

CPR 52

CPR Resuscitation Pediatrics Academics 52

Pediatric Emergency Playbook

MARCH 1, 2016

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Reference: Roberts et al.

Academics 52

Academics Resuscitation EMS Stroke 52

PHEM Cast

SEPTEMBER 19, 2016

Journal of Academic Emergency Medicine. Fanily presence during cardiopulmonary resuscitation. Hobgood C, Harward D, Newton K, Davis W. The educational intervention “GRIEV_ING” improves the death notification skills of residents. 2005; 12: 296-301. Jabre P, Belpomme V, Azoulay E et al. The New England Journal of Medicine.

Ambulance Services 52

Ambulance Services Resuscitation Academics 52

Don't Forget the Bubbles

MAY 3, 2023

This single-centre academic urban institution in the United States (US) undertook a 10-year retrospective observational study of paediatric intubation and bougie use in their emergency department (ED). There were limitations to this study in that only a single academic institution was observed, and retrospective data could create data bias.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52