Remove Administration Remove PPE Remove Resuscitation
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Grand Rounds Recap 1.31.24

Taming the SRU

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.

PPE 98
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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Standard advanced life support with the addition of administration of sodium bicarbonate is appropriate for the treatment of life-threatening dysrhythmias caused by cocaine or other sodium channel blockers. COR 2a, LOE B-NR.

Poisoning 112
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First10EM Journal Club: March 2024

Broome Docs

Is our PPE evidence-based? Resuscitation. Peripheral Administration of Norepinephrine: A Prospective Observational Study. Emerg Med J. 2024 Jan 22;41(2):96-102. doi: 10.1136/emermed-2023-213285. Diekema DJ, Nori P, Stevens MP, Smith MW, Coffey KC, Morgan DJ. 2023 Dec;193:109991. doi: 10.1016/j.resuscitation.2023.109991.

PPE 96
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ToxCard: Acute Organophosphate Toxicity

EMDocs

Decontamination and Appropriate Personal Protective Equipment (PPE) This prevents ongoing exposure to the patient and ED staff. Dispose of clothing appropriately and wear PPE to prevent personal exposure. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated.