Remove Burns Remove Operations Remove Resuscitation
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AIR – Learning from the Airway Registry (November 2023)

Greater Sydney Area HEMS

A change of operator or removal of the blade from the mouth ends the attempt). Focus On: Burns Our burns videos are now collected together in a handy vimeo showcase! Follow this link to see all our burns-related airway videos: [link] These two videos come from the same patient, who had life-threatening burns.

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

RebelEM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

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CICM Second Part Exam Practice SAQs 22082024

Intensive Blog

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? Show Q3 suggested answer guide Relevant history?

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Grand Rounds 5.8.24

Taming the SRU

Be careful with fluid resuscitation in renal transplant patients who can be at risk for volume overload. Validity Evidence for a Team-Leading Assessment Tool in Pediatric Emergency Resuscitation Using Video Review (Hartwell et al.) Assessed and provided feedback of pediatric resuscitations based on video review.

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

More modest lactic acid elevations are less likely to be related to cyanide poisoning and should not prompt intervention, especially in an asymptomatic patient, unless the level is persistently elevated despite adequate resuscitation.

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Case Report: a High-Voltage Victim

ACEP Now

Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. FIGURE 1: Electrical burns of the patient’s bilateral feet. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm. He was intubated by EMS due to the extent of his injuries.

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REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.