University of Maryland Department of Emergency Med

OCTOBER 3, 2023

Bottom line: As part of a systematic protocol, peripheral pressors administered through a peripheral line greater 22Ga or larger reduced t. Click to view the rest

Administration 59

Administration 59

PHARM

MAY 25, 2023

The intranasal route for ketamine administration may be a si… : Journal of Trauma and Acute Care Surgery — Read on journals.lww.com/jtrauma/Citation/2023/06000/The_intranasal_route_for_ketamine_administration.21.aspx

Administration 40

Administration 40

University of Maryland Department of Emergency Med

JUNE 7, 2023

Nitroglycerin easily migrates into polyvinyl chloride (PVC), a plastic commonly used in intravenous tubing due to its flexibility and lo. Click to view the rest

Administration 54

Administration 54

The Trauma Pro

MARCH 1, 2024

The IV peak was higher than IO and approached statistical significance (0.053) ROTEM showed that the animals were significantly hyperfibrinolytic after injury, but rapidly corrected after administration of TXA. Results were the same for both IV and IO groups. Bottom line: This was a very simple and elegant study.

Military 273

Military Resuscitation Administration Hospitals 273

PHARM

APRIL 25, 2023

Dantrolene Administration in the Management of the Prehospital Patient with Methylenedioxymethamphetamine Overdose: A Case Series and Literature Review – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC9440799/

Administration 40

Administration 40

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

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

Emergency Medicine News

NOVEMBER 17, 2023

An abstract is unavailable.

Administration 134

Administration 134

Advanced Medical Reviews

MAY 4, 2021

Physician burnout is a prevalent condition, with 42% of doctors reportedly suffering from it. At the top of the list are critical care physicians, rheumatologists and infectious disease specialists. Approximately half of all female physicians report burnout compared to 36% of their male counterparts.

Administration 52

Administration Infectious Diseases 52

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 137

Administration Sepsis EMS Shock 137

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 126

Administration 126

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

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

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

Emergency Medicine News

FEBRUARY 29, 2024

An abstract is unavailable.

Administration 40

Administration 40

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

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 (..)

Administration 112

Administration Emergency Department 112

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 245

Documentation/Coding Administration 245

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 145

Administration Outcomes Resuscitation Radiology 145

St. Emlyn

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. However, improvements in long-term functional outcomes were less pronounced. Key insights for trauma care providers included.

Administration 78

Administration Outcomes 78

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

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 121

Administration Resuscitation 121

The Skeptics' Guide to EM

NOVEMBER 2, 2024

Intervention: Administration of low-dose ketamine (LDK) 0.1 Comparison: Administration of isotonic saline as placebo with morphine Outcome: Primary Outcome: Pain reduction as measured by patient-reported pain.

Emergency Department 97

Emergency Department Administration EMS Outcomes 97

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 132

Sepsis Hospitals Administration Outcomes 132

RebelEM

AUGUST 22, 2024

Administration of intravenous tissue plasminogen activator (IV tPA) within 4.5 Administration of intravenous tissue plasminogen activator (IV tPA) within 4.5 Moreover, there are multiple operational and patient-specific barriers rendering timely thrombolytic administration difficult. Timely recognition of RAO is challenging.

Stroke 85

Stroke Administration Outcomes Documentation/Coding 85

EM Literature of Note

AUGUST 25, 2024

A heartening trend for a simpler administration and adherence strategy – and non-inferior, overall, while entirely reasonable to judiciously select a higher-risk patient in whom it might be plausible to prescribe prednisone/prednisolone instead. of asthma visits to 17.3% – and the rates are over double that in children.

Administration 92

Administration Emergency Department Wellness Pediatrics 92

Don't Forget the Bubbles

OCTOBER 18, 2024

Midlines are preferred over routine peripheral cannulas for IV drug administration lasting more than four days. They are not suitable for CT contrast administration. Ensure the guide wire is removed before the line is fixed and sharps are disposed of appropriately. Why do we use midlines in paediatrics?

Administration 89

Administration Pediatrics Ultrasounds Burns 89

Taming the SRU

FEBRUARY 7, 2024

For blood product administration, PROPPR showed that 1:1:1 platelet, plasma, and pRBC administration led to earlier hemostasis along with less death due to blood loss and whole blood compared to separate blood product administration led to decreased death at 24 hours.

Administration 98

Administration PPE Ultrasounds Poisoning 98

The Bottom Line

JULY 10, 2024

In patients who have recently taken factor Xa inhibitors with an intracerebral haemorrhage (ICH) did the administration of Andexanet result in better haemostatic efficacy compared to standard care?

Administration 65

Administration Head Injuries 65

Emergency Live

MARCH 1, 2024

This event can occur during treatments such as chemotherapy, administration of contrast fluids, […] The post The Extravasation: An Essential Guide appeared first on Emergency Live.

Administration 98

Administration 98

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

Science Based Medicine

FEBRUARY 14, 2024

I have seen first hand how one or a few true believers can promote so-called alternative medicine at their institutions, meeting little resistance from colleagues and administrators […] The post Mayo Clinic Promotes Reiki first appeared on Science-Based Medicine.

Administration 101

Administration 101

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 116

Administration 116

RebelEM

JULY 10, 2024

Take Home Points Early administration of antibiotics (within 60 min) in patients with fever and neutropenia is life saving. Take Home Points Early administration of antibiotics (within 60 min) in patients with fever and neutropenia is life saving. Avoid sedation and lying supine and steroids in patients with mediastinal masses.

Seizures 59

Seizures Administration EMS Wellness 59

Don't Forget the Bubbles

OCTOBER 12, 2024

When comparing corticosteroids to a placebo, children who received corticosteroids had a more significant reduction in croup scores between 2 and 12 hours of administration. Five studies explored different routes of dexamethasone administration. Additionally, it is more palatable, better tolerated, and has fewer side effects.

Airway Management 85

Airway Management Emergency Department Administration Hospitals 85

The Skeptics' Guide to EM

NOVEMBER 16, 2024

With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. In healthcare, AI is being leveraged to enhance clinical decision-making, streamline administrative processes, and improve patient outcomes.

Administration 57

Administration Emergency Department Outcomes Patient Safety 57