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

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

DECEMBER 31, 2023

An abstract is unavailable.

Administration 105

Administration 105

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

Emergency Medicine News

NOVEMBER 30, 2023

An abstract is unavailable.

Administration 116

Administration 116

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

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

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

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 123

Administration 123

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 123

Administration Resuscitation 123

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

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Multiple studies have demonstrated how the administration of epinephrine can improve short-term outcomes, such as return of spontaneous circulation (ROSC). One critical consideration in prehospital epinephrine administration is the method of vascular access. Epinephrine has long been a cornerstone in the management of OHCA.

Administration 86

Administration CPR Airway Management Outcomes 86

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

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

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

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 113

Administration 113

The Trauma Pro

DECEMBER 20, 2024

The reversal effect of Andexxa begins to wear off two hours after administration and is gone by four hours. So, we don’t really know how useful it is when treating bleeding after DOAC administration. Unfortunately, it’s much more complicated than that. The half-life of apixaban is even longer, 12 hours.

Head Injuries 113

Head Injuries Administration Hospitals 113

The Trauma Pro

DECEMBER 6, 2024

Evidence shows that it is a repository for the gut microbiome, which can help repopulate the colon with bacteria after a serious insult like prolonged antibiotic administration. The appendix is not the useless vestigial structure we initially thought. Unnecessary removal may ultimately interfere with gut health and disease. Sure, at any time.

Operations 147

Operations Administration Wellness 147

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

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 128

Administration Blood Transfusions Outcomes Hospitals 128

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

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 300

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 300

Emergency Live

JANUARY 30, 2024

Italy Witnesses Significant Progress in the Fight Against Cancer The mRNA Vaccine Revolution In a significant breakthrough in the battle against melanoma, Italy has witnessed the administration of the first dose of an innovative mRNA vaccine.

Administration 98

Administration 98

Emergency Live

JANUARY 12, 2024

Specific training for the type of […] The post The path to becoming a rescue helicopter pilot appeared first on Emergency Live.

Administration 98

Administration EMS 98

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

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 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

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.

Airway Management 286

Airway Management Pediatrics Wellness Administration 286

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

RebelEM

JUNE 8, 2023

The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. Assessed clinical practice, outcome, length of stay, safety, and efficacy of both phenylephrine and epinephrine peripherally administered through a push dose.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

First 10 EM

OCTOBER 15, 2023

One of those trials – CRYOSTAT-2 – was just published, and adds important information about the role of empiric fibrinogen administration (in the form of cryoprecipitate) in trauma patients. In the massive hemorrhage deep dive, I mentioned that there were a number of large trials in the works that would further define practice.

Administration 103

Administration EMS 103

RebelEM

JULY 3, 2023

Pregnant or incarcerated patients Documentation for systolic BP is incomplete Intervention: Administration of IV calcium within 60 min prior to or 30 min after IV diltiazem administration in patients with AF/AFL with RVR. Critical information such as HR, SBP, drug administration times were occasionally missing. received CaCl 89.3%

Administration 98

Administration Outcomes Documentation/Coding Emergency Department 98

ALiEM

MARCH 5, 2024

Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. The Aspirin Story – from Willow to Wonder Drug. British Journal of Haematology. 2017;177(5):674-683. PMID: 28106908. Schmid B, Kötter I, Heide L.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

PDC Healthcare

JUNE 8, 2023

Food and Drug Administration (FDA) published updates to their mammography regulations to facilitate better reporting of information and an improved experience for patients. In March of 2023, the U.S.

Administration 98

Administration Patient Safety 98

Ken Grauer, MD

SEPTEMBER 6, 2024

Figure-4: Rhythm strips recorded after administration of IV Adenosine to today's patient. IDEALLY: A continuous rhythm strip should always be recorded for the 60-90 seconds after administration of IV Adenosine ( as the BEST way to capture the critical diagnostic period prompted by this medication ).

EKG/ECG 248

EKG/ECG Administration Wellness Operations 248

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

The Trauma Pro

SEPTEMBER 15, 2023

Many centers have adopted 2-3 days to delay administration of low molecular weight heparin in patients with solid organ injury. The AAST initiated a prospective multi-institutional trial comparing early ( < 48 hours after admission) and late (>48 hours) administration of prophylactic agents.

Administration 113

Administration Fractures Wellness 113

ACEP Now

OCTOBER 13, 2023

An official reason for the closure was not immediately available from the hospital administration, but residents there said they were told the surprise move was likely because of financial reasons. “We

Patient Safety 132

Patient Safety Administration Emergency Department EMS 132