RebelEM

APRIL 29, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post Don’t Forget About the IO in the Critically Ill Patient appeared first on REBEL EM - Emergency Medicine Blog. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Emergency Medicine Ireland

JUNE 10, 2024

We’re going to cover a bit of an environmental/tox topic today and look at carbon monoxide poisoning from Oh’s manual chapter 83 on burns. I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. We’re likely to see this in a couple of contexts.

Poisoning 52

Poisoning EMS Burns Shock 52

EMergucate

APRIL 15, 2014

Possible airway and ventilation compromise Concerns: Burns – … Continue reading → Critically unwell patient with 1. Altered GCS 2. Tissue hypoxia 4.

Burns 40

Burns Shock EMS 40

ALiEM

JULY 17, 2023

sought to identify program factors associated with unfilled post-graduate year 1 (PGY-1) emergency medicine (EM) positions in the 2023 Match [1]. Many of these findings were similar to a study of the 2022 EM Match results by Murano et al., A staggering 131 (47%) EM residency programs had unfilled PGY-1 positions among in 2023 [7].

EMS 52

EMS Burns Emergency Department Shock 52

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Northwestern EM Blog

JANUARY 24, 2022

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. He is in compensated shock. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Are you ready? Medicine is evolving.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EMDocs

JULY 15, 2023

We’ll keep it short, while you keep that EM brain sharp. She has had pruritus and swelling to the site accompanied by a painful burning sensation and a couple “painful knots” on her right inguinal region. link] The post EM@3AM: Erysipelas appeared first on emDOCs.net - Emergency Medicine Education. pneumoniae , S.

EMS 84

EMS Infectious Diseases Shock Ultrasounds 84

EB Medicine

DECEMBER 4, 2019

Physicians reportedly respond 44% of the time, followed by nurses at 20% and EMS providers at about 4%. Even in cases where EMS was requested, patients were only transported 37% of the time and of those, only 8% were actually admitted for further work up. Nachi: I think that covers the main pathologies you may encounter.

Dehydration 40

Dehydration EMS Wellness Burns 40

EMDocs

FEBRUARY 8, 2025

Well keep it short, while you keep that EM brain sharp. IFI patients may require ICU level of care as they often present in septic shock, have increasing oxygen requirements, and may also require urgent bronchoscopy with lavage/tissue sampling for definitive diagnosis. COPD, cystic fibrosis), HIV/AIDS, cancer, immunosuppressed (i.e.

Infectious Diseases 65

Infectious Diseases EMS COPD Research 65

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Dr. Smith's ECG Blog

DECEMBER 3, 2024

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. I put this through the Queen of Hearts and was shocked that she did not see it. He came to the ED at the urging of his wife.

EKG/ECG 112

EKG/ECG Burns Wellness Shock 112

EMDocs

JANUARY 20, 2025

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72