Downeast Emergency Medicine

APRIL 26, 2021

2][3] If earlier treatment with TXA is better, would there be benefit in its administration in the prehospital setting? Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. When looking at the subgroups with severe shock, there was an 18.5% JAMA Neurol. 2021;78(3):338–345.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PHEM Cast

APRIL 10, 2016

The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. Puskarich MA, Marchick MR, Kline JA, Steuerwald MT, Jones AE. 2009;13(5):R167.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

PulmCCM

JANUARY 4, 2022

As well, the volume of administration might be much lower than 500 mL, with previous research indicating that 4 mL/kg of crystalloid was an optimal volume needed to increase mean systemic filling pressure. Download his free textbook here. ED50] and in 90% [i.e., ED90] of the patients who were ‘responders.’

Wellness 40

Wellness Outcomes Sepsis Stroke 40

RebelEM

JANUARY 25, 2023

2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

PulmCCM

OCTOBER 16, 2023

Download the central line checklist from John Hopkins here. For example, a patient who presented with shock and mitral regurgitation, received a central line for vasopressors on day 0, and was found to have bacteremia from blood cultures drawn on day 3 due to endocarditis would have a CLABSI, but not a CRBSI.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

PulmCCM

SEPTEMBER 9, 2021

Arguably, this might be mitigated by slower volume administration. With ANDROMEDA-SHOCK-2 enrolling patients, this distinction could become more salient. Download his free textbook here.

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

RebelEM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. Background and Physiology Shock secondary to beta-blocker (BB) or calcium-channel blocker (CCB) toxicity bears a tremendous degree of morbidity and mortality. Rapid administration may induce nausea and emesis.

Poisoning 95

Poisoning Stroke Shock Administration 95

RebelEM

MAY 15, 2024

Early administration of antibiotics is the only factor known to reduce this mortality. REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Early administration of antibiotics is the only factor known to reduce this mortality. Febrile neutropenia is a condition conveying high mortality.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. N Engl J Med.

EMS 52

EMS CPR Shock Resuscitation 52

Don't Forget the Bubbles

AUGUST 13, 2023

decreased cognitive function in future B. meningitis C. epilepsy D. encephalitis Answer 3 The correct answer is C.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

Don't Forget the Bubbles

JULY 5, 2023

Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. Websites [link] [link] [link] [link] Please download our Facilitator and Learner guides The post Sickle Cell Disease Module appeared first on Don't Forget the Bubbles. 2019, 3 rd edition.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126