Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

She stabilized after electrolyte administration with no further episodes of TdP. since what appears to be a major causative factor ( simultaneous ingestion of 9 herbal preparations ) is no longer operative. Potassium chloride drip was also started. Potassium on admission was 3.5mmol/L (Ref 3.6-4.6) and magnesium 0.88 mmol/L (Ref 0.71-0.94).

Seizures 114

Seizures EKG/ECG EMS Stroke 114

EMDocs

OCTOBER 30, 2023

Under standard operating protocols, residual contrast materials are usually wasted, according to current CDC and JC standards. Contrast Media, Iodinated, Dose, and Administration. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013. J Am Coll Radiol. doi:10.1016/j.jacr.2023.06.032

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” He endorses nausea without vomiting and denies fever. In this study, 40.7% of those in the POCUS group and 27% in the formal ultrasound group underwent subsequent CT. J Urol 2019.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

PulmCCM

JANUARY 4, 2022

For example, should a fluid challenge fail to raise stroke volume [SV], a state of physiological preload intolerance exists and additional volume is arguably harmful ; further attempts to increase tissue perfusion might then be best achieved with vasoactives. For what are intravenous fluids diagnostic?

Wellness 40

Wellness Outcomes Sepsis Stroke 40

RebelEM

FEBRUARY 1, 2024

Background : Alteplase, a class of medication that converts plasminogen to plasmin leading to fibrin degradation and subsequent clot lysis, has been the standard of care for acute ischemic stroke (AIS) patients that meet eligibility criteria. mg/kg non-inferior to alteplase in the treatment of acute ischemic stroke? vs Alteplase 34.8%

Stroke 132

Stroke Blood Transfusions Outcomes EMS 132

EB Medicine

AUGUST 1, 2018

Also, be aware that there are various formulations of cannabis that allow for different routes of administration. Basically, any way you can imagine, it seems like a route of administration has been explored. On the longer end, rectal cannabis administration can take up to 8 hours to reach peak plasma concentrations.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane). for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. Stroke Authors’ Recommendation: CTA head/neck should be acquired in patients with stroke symptoms presenting within 24 hours of symptom onset.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

NOVEMBER 4, 2024

80 It can be caused by traumatic nerve, spinal cord, or brain injury (including stroke) or can be a sequela of conditions like diabetes, HIV/AIDS, postherpetic neuropathies, multiple sclerosis, cancer, or chemotherapies. Pain can be triggered spontaneously and noxious/innocuous stimuli are pathologically amplified. Emerg Med J. J Emerg Med.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

APRIL 8, 2015

Administrative data from an integrated health system of 11 Southern California EDs were used to identify cardiac outcomes after ED presentation for syncope from January 1, 2002, to December 31, 2005. to 1.45) for fatal or nonfatal stroke. g/dL —Hypotension (obviously!) to 2.73), 2.66 (95 percent confidence interval, 1.69 to 3.80).

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Don't Forget the Bubbles

JULY 5, 2023

The Kilifi algorithm includes five clinical situations that are common sickle cell presentations – clinical jaundice, severe anaemia, bone and joint infections, and stroke. Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. How is sickle cell disease diagnosed?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

American Medical Compliance

FEBRUARY 11, 2025

Whether you’re a nurse, therapist, or administrator , incorporating these strategies can make a lasting impact on patient care. For example, a stroke patient may need daily movement exercises to improve mobility, while someone recovering from hip surgery might benefit from a walking assistance program.

Stroke 99

Stroke Administration Best Practices Wellness 99

Sensible Medicine

MARCH 5, 2025

In writing, Henry Marsh is able to transform ordinary experiences into transcendent observations: Sometimes, if the dissection is particularly difficult and intense, or dangerous, I will pause for a while, rest my hands on the arm-rests, and look at the brain I am operating on. The result was a devastating stroke that left the man comatose.

Operations 79

Operations Stroke Documentation/Coding Administration 79

EMDocs

FEBRUARY 1, 2025

Source Comparison of Early and Late Norepinephrine Administration in Patients With Septic Shock: A Systematic Review and Meta-Analysis. Spoon Feed In adult stroke patients eligible for both mechanical thrombectomy and IV thrombolytics (IVT), IVT should be offered and may be administered before thrombectomy. 2024 Dec;166(6):1417-1430.

Stroke 55

Stroke Operations Shock Emergency Department 55

ACEP Now

DECEMBER 7, 2024

The use of thrombolytics for acute ischemic stroke may be one of the most controversial topics in emergency medicine during the last several decades. 1 The reason is understandablethrombolytics in stroke is a high-risk, higher-reward treatment. This debate recurs in multiple forums including many previous pieces in ACEP Now.

Stroke 98

Stroke Research Hospitals Outcomes 98