PulmCCM

NOVEMBER 7, 2024

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. During cardiac arrest, every second matters (at least potentially).

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

ACEP Now

JANUARY 4, 2025

Erosion of Autonomy The erosion of autonomy is evident in how physicians are now viewed, both by administrators and even by themselves. The art of medicinethe intuitive, informed choices that differentiate a good doctor from a great oneis being lost.

Administration 98

Administration Sepsis Emergency Department 98

Emergency Medicine News

NOVEMBER 17, 2023

An abstract is unavailable.

Administration 134

Administration 134

EM Ottawa

JUNE 19, 2023

Findings: There was no statistically significant difference in median total 24hr blood product […] The post Efficacy and Safety of Early Administration of 4-Factor Prothrombin Complex Concentrate in Patients With Trauma at Risk of Massive Transfusion: The PROCOAG Randomized Clinical Trial appeared first on EMOttawa Blog.

Administration 95

Administration 95

American Medical Compliance

NOVEMBER 14, 2024

Training goes beyond basic vaccine administration. Incorporating team-based learning allows nurses, physicians, and administrative staff to collaborate, discuss challenges, and share insights from their experiences. The training should also teach common misconceptions in pediatric immunization and effective communication strategies.

Pediatrics 105

Pediatrics Administration CDC Research 105

St. Emlyn

JANUARY 13, 2025

With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care. Ideal for clinicians and researchers aiming to optimise anaesthesia practices and enhance patient outcomes in emergency settings.

Administration 60

Administration Research Outcomes 60

The Trauma Pro

JUNE 23, 2023

Most people worry about common errors like wrong dose, wrong drug, and wrong route of administration. What are common sources of malpractice complaints against nurses? The most common event is medication error. But one less commonly considered drug-related responsibility is assessment for side effects and toxicity of medications administered.

Documentation/Coding 246

Documentation/Coding Administration 246

Mount Sinai EM

JULY 30, 2023

Important, earlier administration may precipitate increased production of thyroid and worsening of storm. For esmolol, loading dose of 250 to 500 mcg/kg, followed by an infusion at 50 to 100 mcg/kg per minute OR a loading dose of 1 mg/kg over 30 seconds followed by approximately 150 mcg/kg/minute Thionamide – PTU preferred.

Administration 179

Administration COPD Wellness 179

Ken Grauer, MD

SEPTEMBER 1, 2023

Although this ultimately resulted in successful conversion to sinus rhythm — the immediate result of Adenosine administration caused the unusual rhythm discussed above ( seen in Figure-1 ). A DDENDUM ( 9/2/2023 ) : Adenosine was administered to today's patient for treatment of a regular SVT rhythm.

EKG/ECG 285

EKG/ECG Administration 285

The Trauma Pro

JUNE 4, 2024

To avoid this, a number of vented products have been developed and approved by the US Food and Drug Administration (FDA). But there is a danger that this could result in development of tension pneumothorax, because the dressing not only keeps air from getting in but also keeps any buildup of pneumothorax from getting out.

Administration 214

Administration Research Wellness 214

The Bottom Line

JUNE 19, 2023

In adult patients with major trauma, who are at risk for trauma-induced coagulopathy does early administration of 1g of tranexamic acid (TXA) followed by an infusion of 1g over 8 hours, compared with placebo, increase survival with a favourable functional outcome at 6 months?

Administration 145

Administration Outcomes Shock 145

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 116

Administration 116

EMCrit

JUNE 17, 2024

BSI is distinct from traditional rapid sequence intubation (RSI), since BSI involves the delivery of machine-initiated, pressure-controlled breaths following administration of sedation and paralytics. […] EMCrit Project by Josh Farkas.

Administration 132

Administration 132

RebelEM

JUNE 26, 2023

Interventions such as early application of hemorrhage control, tranexamic acid, reduction of crystalloid fluid administration and balanced ratio blood product transfusion have improved many patients’ outcomes. Some clinicians have advocated for early administration of 4-factor. Severe acute traumatic coagulopathy = PT >1.5

Administration 139

Administration Outcomes Resuscitation Radiology 139

ALiEM

JUNE 24, 2024

Known Techniques of Adenosine Administration Currently, there are 2-syringe and 1-syringe methods that are widely accepted for the administration of adenosine. The unique aspect of the trick is to incorporate a high-pressure, unidirectional IV fluid administration system. With an ultrafast half-life estimated to be between 0.6

Administration 114

Administration Hospitals 114

Broome Docs

NOVEMBER 17, 2024

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Resuscitation. 2024 Aug;201:110266.

Administration 61

Administration Resuscitation Radiology Radiology 61

The Bottom Line

OCTOBER 18, 2023

In patients with trauma and critical bleeding who require activation of a major haemorrhage protocol, does the empiric administration of 3 pools of cryoprecipitate (6g fibrinogen) within 90 minutes of randomisation (and no more than 3 hours after injury) improve survival, compared to standard care?

Administration 140

Administration Operations Resuscitation 140

RebelEM

FEBRUARY 19, 2024

Historically the administration of vasopressors was restricted to central venous catheters (CVC) due to concerns for local tissue injury resulting from vasoconstriction if extravasation occurred from a peripheral IV. Peripheral Administration of Norepinephrine: A Prospective Observational Study. Paper: Yerke JR et al. CHEST 2024.

Administration 134

Administration Sepsis EMS Shock 134

Emergency Medicine Journal

MARCH 25, 2025

The 1-BED.

Sepsis 52

Sepsis Emergency Department Administration Outcomes 52

Life in the Fast Lane

JUNE 12, 2024

Case study and review of dose, administration and indication for GTN nebuliser administration Kane Guthrie Nebulised GTN in the ED Nebulised GTN in the ED.

Administration 104

Administration 104

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

Emergency Medicine Journal

NOVEMBER 21, 2024

This study investigated whether delayed sequence intubation (DSI), with the administration of ketamine 3 min prior.

Administration 52

Administration Outcomes 52

EB Medicine

MAY 1, 2024

Strayer, MD, author of the May 2024 Emergency Medicine Practice article, Current Concepts in Ketamine Therapy in the Emergency Department Diving Into Ketamine Use in Emergency Medicine Understanding Ketamine: From Origins to Emergency Use Exploring the Ketamine Brain Continuum Ketamine Dosing and Administration Techniques Combining Ketamine with (..)

Emergency Department 114

Emergency Department Administration 114

Mount Sinai EM

OCTOBER 2, 2023

When to use it: Allows administration of medications/solutions that can potentially damage or sclerose peripheral vessels or cause peripheral damage if they extravasate out of the blood vessel into surrounding tissue. Fluid cannot be administered via the main hub.

Resuscitation 231

Resuscitation Fluid Resuscitation Administration Shock 231

Life in the Fast Lane

SEPTEMBER 3, 2023

Pramod Chandru Network Five: Emergency Medicine Conversations Network Five Emergency Medicine Conversations Episode 24 - an interview with Dr Amith Shetty on medical administration, leadership, and more!

Leadership 98

Leadership Administration Patient Safety Research 98

EM Ottawa

FEBRUARY 15, 2024

Physiology of the rapid sequence intubation Rapid sequence intubation (RSI) is the nearly simultaneous administration […] The post Ketamine and Etimodate: Into the Void appeared first on EMOttawa Blog.

Administration 126

Administration Resuscitation 126

RebelEM

JANUARY 18, 2024

Time to antibiotic therapy (from triage, not from onset of infection) has become a quality metric to improve the time to administration of these medications. Prehospital Administration of Broad-Spectrum Antibiotics for Sepsis Patients: A Systematic Review and Meta-Analysis. Paper: Varney J et al. to 0.97; p = 0.02 to 2.07; p = 0.91

Sepsis 130

Sepsis Hospitals Administration Outcomes 130

Sensible Medicine

MARCH 28, 2025

The first part, beginning right after training, is spent honing a craft and working to establish an academic niche: clinical excellence, research, education, or administration. In phase two, that early work pays off.

Academics 40

Academics Leadership Administration Research 40

EMDocs

AUGUST 24, 2023

Blood cultures were collected from patients before the admiration of antibiotics (gold standard), and then again 30 – 120 min following administration of antibiotics. Yields from the post-antibiotic set of blood cultures were then compared against the pre-antibiotics administration set. Difference of 12% (95% CI 5.4 Ann Intern Med.

Administration 95

Administration Sepsis Shock Emergency Department 95

Pediatric EM Morsels

SEPTEMBER 22, 2023

Crystalloid may help, but neurogenic shock may not respond to fluid administration. Treatment Cautious crystalloid infusion This can lead to worsening anemia and coagulopathy in polytrauma patients with hemorrhage and may increase spinal cord edema. Alpha 1 agonists are necessary to maintain appropriate blood pressure.

Shock 304

Shock Pediatrics Dislocations Hyperthermia / Hypothermia 304

Pediatric EM Morsels

JULY 19, 2024

Soak the gauze with epinephrine (1:10,000) or TXA (our THIRD route of administration) Apply pressure laterally to the tonsillar fossa with the gauze covered Magill forceps. . < 25 kg = 250 mg up to 3x > 25 kg = 500 mg up to 3x Direct Pressure Always the best way to stop bleeding. Don’t await for fancy meds to arrive from pharmacy.

Pediatrics 290

Pediatrics Airway Management Wellness Emergency Department 290

RebelEM

OCTOBER 30, 2023

The optimal approach to fibrinogen administration in massive hemorrhage protocols is unknown. Most major hemorrhage protocols give a balanced transfusion of PRBCs, FFP, and platelets in ratios approaching concentrations found in whole blood. Fibrinogen products may also be needed to stabilize clots and stem bleeding. Paper: Davenport R et al.

Administration 125

Administration Blood Transfusions Outcomes Hospitals 125

EMDocs

JANUARY 11, 2025

A) Administration of IV morphine for pain control B) Admission to general surgery for IV antibiotics C) Discharge home on lactulose D) Emergent surgical consultation for exploratory laparotomy E) Manual disimpaction Correct answer: E Although uncommon, stercoral colitis is a potentially life-threatening complication of chronic constipation.

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

EMDocs

NOVEMBER 6, 2023

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Standard advanced life support with the addition of administration of sodium bicarbonate is appropriate for the treatment of life-threatening dysrhythmias caused by cocaine or other sodium channel blockers. COR 2a, LOE B-NR.

Poisoning 115

Poisoning Hyperthermia / Hypothermia Seizures Administration 115

The Trauma Pro

JANUARY 4, 2024

These criteria have not yet been evaluated prospectively or coupled with the administration of chemoprophylaxis. However, there is much less information available regarding pediatric trauma. High-risk criteria for pediatric VTE after trauma have recently been released. They studied VTE events within 30 days and bleeding complications.

Pediatrics 162

Pediatrics Administration 162

RebelEM

NOVEMBER 30, 2023

For those with sepsis, the administration of intravenous fluids (IVF) at the volumes recommended in the Surviving Sepsis Campaign (SSC) requires careful consideration of an individual’s chronic medical conditions and subsequent sensitivity to IVF. Studies without a clear timeframe for fluid administration. 2.89, p = 0.01.

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

Emergency Live

DECEMBER 20, 2023

An overnight explosion causes death and destruction in the capital of Guinea The Disaster: A Night of Terror In the early hours of December 18, Conakry, the capital of Guinea, was rocked by a powerful explosion followed by a devastating fire at the main fuel depot of the Guinean Petroleum Company, located in the administrative […] The post Conakry, (..)

Administration 105

Administration 105