Don't Forget the Bubbles

JUNE 12, 2023

Elaine Bromiley went into hospital for a routine operation. Max McKenzie was an otherwise healthy teenager but died from a hypoxic brain injury sustained during food anaphylaxis-related bronchospasm/asthma. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

Resuscitation 145

Resuscitation Anaphylaxis Best Practices Operations 145

Taming the SRU

FEBRUARY 12, 2024

She initially agreed to be transported to the hospital by ambulance, but jumped from the moving vehicle and was subsequently struck and pinned under the fuselage for 10-15 minutes. Hospital Course Based on the primary survey, no acute airway interventions were undertaken. The patient is agitated on a backboard with C-collar in place.

Administration 80

Administration Fractures Anaphylaxis Head Injuries 80

Mind The Bleep

OCTOBER 17, 2024

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. There were multiple patients where the only intervention from the team was stopping resuscitation. Pre-hospital medicine is not always glamorous!

Ambulance Services 52

Ambulance Services Anaphylaxis Hospitals Airway Management 52

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. There’s been some study of angiotensin II in the years since it has landed in our hospital formularies and there has not been robust data supporting its use.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52

Downeast Emergency Medicine

APRIL 26, 2021

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1]

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EB Medicine

SEPTEMBER 1, 2018

Nachi: Right, but in Australia, not only are the snakes more venomous but the hospital transport distances are much longer, so, basically they sacrifice the limb to potentially save a life. If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. It’s an easy number to remember.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

Pediatric Emergency Playbook

JUNE 1, 2016

If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Fluid balance and cardiac function in septic shock as predictors of hospital mortality. After assessing the heart rate, optimizing volume status, evaluating contractility, is the cause of the shock peripheral vasodilation? Treat with epinephrine.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40