article thumbnail

A routine resuscitation

Don't Forget the Bubbles

I’m angry at the system for letting a culture develop where that kind of standard of emergency medicine is ok – we were told face to face that Max’s care was “best practice” It makes me angry that the hospital review found nothing wrong about taking 23 minutes to intubate the victim of an asthmatic arrest causing asystole.

article thumbnail

Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

Targeted temperature control following traumatic brain injury: ESICM/NACCS best practice consensus recommendations. Although this can be beneficial initially, it also increases the risk of infectious complications and coagulopathy with prolonged hypothermia. What do the guidelines recommend? Pediatr Crit Care Med. doi:10.1097/PCC.0000000000001735

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

AMAX4 Algorithm

Life in the Fast Lane

Neil Long and Chris Nickson AMAX4 Algorithm AMAX4 is a best-practice algorithm for critical care clinicians in anaphylaxis and asthma resuscitation.

article thumbnail

Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

Fluid resuscitation should be initiated. Stable Patients For both stable and resuscitated patients, high-dose IV proton pump inhibitor therapy (i.e., 14 In clinically stable patients who do not require resuscitation, EGD is less urgent and may be performed within six to 24 hours. 6 Balloon tamponade (i.e., Medicine (Baltimore).

article thumbnail

Crafting And Refining Your Massive Transfusion Protocol – Part 2

The Trauma Pro

One best practice to consider: a highly trained trauma resuscitation nurse or advanced practice provider (APP) can run the MTP from the sidelines. Most of the time, however, these two physicians actually end up running the MTP while multi-tasking at their other job. Unfortunately, this can lead to errors and delays.

article thumbnail

The Pause- a recognition of a life

Don't Forget the Bubbles

These unprocessed emotions can lead to vicarious trauma , especially in resuscitation providers. Rather, immediately after an unsuccessful resuscitation attempt, there should be an opportunity for those involved to partake. Best Practices in Mental Health. Resuscitation. Critical Care Medicine , 46 (1), pp.

article thumbnail

The Electronic Trauma Flow Sheet: Why Hospitals Want You To Switch

The Trauma Pro

A best practice would be to scan (or copy) the paper trauma flow sheet just before the patient leaves the emergency department for good so an interim version can be placed in the EHR. Vital signs during resuscitation may be nothing like those of the rest of the hospital stay. At some point.

Hospitals 100