Don't Forget the Bubbles

NOVEMBER 29, 2023

Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED). This is referred to as CPR I nduced C onsciousness ( CPRIC ).

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

The Skeptics' Guide to EM

DECEMBER 25, 2021

Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. CPR is continued while a supraglottic airway is placed successfully. Clinical Question: Does administration of calcium during out-of-hospital cardiac arrest improve sustained return of spontaneous circulation?

CPR 52

CPR Administration Outcomes Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Sodium bicarbonate has historically been used during CPR with the goal of alkalizing blood pH and treating metabolic acidosis.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

EMDocs

JANUARY 8, 2024

For patients with OHCA, use of steroids during CPR is of uncertain benefit. Routine administration of calcium for treatment of cardiac arrest is not recommended. COR 2b, LOE B-R. COR 2b, LOE C-LD. COR 3, No benefit, LOE B-R. Routine use of sodium bicarbonate is not recommended for patients in cardiac arrest.

Seizures 97

Seizures Shock CPR Hyperthermia / Hypothermia 97

RebelEM

SEPTEMBER 28, 2023

neoplasm, aneurysm, intracranial or spinal surgery) or recent trauma to head or cranium (i.e.

EKG/ECG 137

EKG/ECG Allergic Reactions Shock Stroke 137

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. Bystander high-quality CPR can buy you some time until defibrillation.

CPR 52

CPR Academics Resuscitation Hospitals 52

RebelEM

JANUARY 29, 2024

PMID: 37188358 Clinical Question: What is the efficacy and safety of low-dose (25mg) prolonged administration (over 6hrs) of alteplase in patients with massive PE? Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism: A Pilot Study. Clin Exp Emerg Med 2023.

Stroke 133

Stroke Outcomes Hospitals Administration 133

Taming the SRU

JULY 2, 2023

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. Continuous monitoring allows for rapid recognition of tube displacement.

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

AED Leader

MAY 27, 2024

Additionally, consider devices that offer CPR feedback, providing real-time instructions on the correct compression depth and rate. These features enable school administrators or medical professionals to access and analyze the data recorded by the AED, providing valuable insights for training, maintenance, and reporting purposes.

CPR 52

CPR Pediatrics Shock Administration 52

AED Leader

SEPTEMBER 21, 2024

Incorporating defibrillation into Cardiopulmonary Resuscitation (CPR) significantly enhances survival rates for victims of sudden cardiac arrest (SCA). Understanding this urgency emphasizes the need for training and education on CPR and AED usage across communities, leading into our next focus on clinical significance of early defibrillation.

CPR 52

CPR Shock Resuscitation Hospitals 52

AED Leader

DECEMBER 2, 2024

Furthermore, regular maintenance and training in cardiopulmonary resuscitation (CPR) techniques significantly enhance the potential effectiveness of AEDs in emergencies. CPR techniques and integration with AED use Combining CPR with AEDs can be lifesaving. Knowing when to apply CPR and when to use the AED is vital.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). The US Food and Drug Administration (FDA) approved benzonatate in 1958 for cough relief in patients ≥ 10 years. Background: Cough is a frequent complaint that leads to over 20 million annual visits to providers for management. (1)

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

AED Leader

JULY 10, 2024

Regular maintenance ensures that your Physio-Control AED remains compliant with regulations and standards set by authorities such as the American Heart Association (AHA) and the Occupational Safety and Health Administration (OSHA). Check for any physical damage, loose connections, or signs of wear and tear.

CPR 52

CPR Administration Shock Wellness 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Administration of potassium may be empirical in emergent conditions. Gradual correction of hypokalemia is preferable to rapid correction unless the patient is clinically unstable.

EKG/ECG 52

EKG/ECG Resuscitation Administration CPR 52

Advanced Emergency Nursing from AENJ

AUGUST 19, 2015

Twice in my career, I've spoken to patients soothingly during CPR so proficiently performed that spontaneous movements and sentient responses could be discerned and apparently calmed; ─a quite remarkable thing. I have never found it necessary to stop CPR to beat my patient and curse them, yelling for them to come back!

CPR 40

CPR Resuscitation Emergency Nursing Administration 40

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. Oxygen administration, with or without ventilatory support, is the mainstay of treatment. Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Administration of potassium may be empirical in emergent conditions. Gradual correction of hypokalemia is preferable to rapid correction unless the patient is clinically unstable.

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

Dr. Smith's ECG Blog

APRIL 8, 2016

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Furthermore, these results were independent of the patient's underlying renal function or associated diuretic administration.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

RebelEM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

EMS 52

EMS CPR Shock Resuscitation 52

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

PulmCCM

MARCH 11, 2024

Ascension and UPenn test automatic palliative care consults Palliative care programs are sometimes pitched to administrators on the basis of their potential to reduce costs, by shortening length-of-stay or intensity of expensive and unhelpful therapies at the end of life. The trial was funded by NIH and a philanthropic trust. vs 6.9%). (To

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

The Skeptics' Guide to EM

NOVEMBER 30, 2024

After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. Multiple studies have demonstrated how the administration of epinephrine can improve short-term outcomes, such as return of spontaneous circulation (ROSC). Epinephrine has long been a cornerstone in the management of OHCA.

Administration 98

Administration CPR Airway Management Outcomes 98

Taming the SRU

JANUARY 31, 2025

Taming the Sru WITH Dr. Hajdu High quality cardiopulmonary resuscitation (CPR), administration of epinephrine and defibrillation on rhythm changes when indicated should be the mainstay of treatment for cardiac arrest caused by nonshockable rhythms including pulseless electrical activity (PEA) and asystole.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

He received CPR and was intubated. Earlier recognition and administration of treatment may have saved this patient an arrest. The next recorded blood pressure was 211/175 mm Hg, and in response the patient was started on continuous nitroglycerin infusion. His heart rate dropped back into the 30s, and he arrested.

EKG/ECG 64

EKG/ECG COPD CPR Administration 64

Taming the SRU

JUNE 6, 2023

Disposition Indications for admission GCS<15, focal neurological deficits, seizures Intractable vomiting Significant Abnormal CT results Discharge criteria Normal GCS, exam Caregiver at home Certain abnormal CT Isolated & non-depressed calvarial skull fractures <1cm diameter of solitary cerebral contusions <1cm width of epidural or (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64