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EM@3AM: Murine Typhus

EMDocs

Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Food and Drug Administration. Clinical Infectious Diseases , vol. 6, 2008, pp. Oxford University Press. Accessed 19 Aug. 2024 Jun 10;14(2):e185-e187.

EMS 101
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Another Study on Peripheral Vasopressors

RebelEM

Background: Use of vasopressors is a common practice to support hemodynamics and optimization of tissue perfusion in patients presenting with shock. Peripheral Administration of Norepinephrine: A Prospective Observational Study. of cases) Catheter ultrasound confirmation: 49.8% (i.e. Paper: Yerke JR et al. CHEST 2024.

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Grand Rounds Recap 1.31.24

Taming the SRU

Ultrasound: Make “windows of access”. 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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REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

RebelEM

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. However, mortality still remains high due to trauma-induced coagulopathy. Severe acute traumatic coagulopathy = PT >1.5

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ICU Physiology in 1000 Words: The Right Atrial Pressure Does Not Determine Cardiac Output – Part 2

PulmCCM

shows blood administration with a direct linear relationship between Pra and CO/VR; only Pmsf is varied here. ’ This could be done with the Venous Excess Ultrasound Score [VExUS] [5, 6]. The ultrasound journal 2020, 12(1):1-12. Ultrasound J 2022, 14(1):36. OP is operating point. See text for details.

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

The current standard of practice has moved away from landmark-based central line placement given the efficacy and safety of ultrasound-based techniques. In cardiac arrest, a delay in IV access subsequently results in a delay in epinephrine administration. This study also showed the median time for IO placement was only 1.2

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Grand Rounds Recap 5.22.24

Taming the SRU

Get a blood gas when possible to help guide your ventilation. glenn, haffner, and jackson In Flight Emergencies: As a responding physician to an in-flight emergency, you may recommend diverting the plane, however, the captain (lead pilot) will make the final decision.

Shock 91