Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. E.g. burns, neurosurgery, interventional radiology. Establish IV access for potential fluid resuscitation. Administer O2 if necessary.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Dr. Smith's ECG Blog

DECEMBER 23, 2014

An otherwise health male in his early 40's presented with "burning" in his epigastrium that radiated to his throat and was relieved with Maalox and lidocaine. Here is his post resuscitation ECG: Now the diagnosis is obvious. He underwent PCI and had a good outcome. He had an ECG recorded: Sinus Rhythm. QTc is 400 ms.

EKG/ECG 52

EKG/ECG Burns Resuscitation Outcomes 52

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

ACEP Now

OCTOBER 9, 2024

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. However, the persistence of tachycardia despite fluid resuscitation and dosing with lorazepam to help with his panic disorder raised concerns that warranted further investigation. Burns E, Buttner R.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Ultrasounds Burns 52

Northwestern EM Blog

FEBRUARY 28, 2022

A truism in resuscitation is to always rule out the easily correctable causes immediately. As your post alludes to, sometimes patients remain hypoxemic despite our usual efforts and refractory hypoxemia can be an intimidating beast when you’ve got a busy ED burning down around you.

Emergency Department 52

Emergency Department Burns Resuscitation Outcomes 52

Rural Doctors Net

AUGUST 30, 2013

The visual confrontation of a man in pain with an obvious amputation and airway burns will induce a catecholamine surge in all but the psychopathic. Flooding him with crystalloid is going to dilute his clotting factors, make him hypothermic and potentially worsen outcomes. Airway compromised by burns. Keep him warm and covered.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

ACEP Now

JULY 7, 2023

This is a discussion of a potentially disastrous airway outcome. Otolaryngology (ENT) was emergently consulted and the patient was brought to a resuscitation bay because of worry concerning possible aspiration secondary to posterior epistaxis, requiring further airway stabilization. Burns B, Habig K, Eason H, Ware S.

Airway Management 45

Airway Management EMS Burns Operations 45

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

EMDocs

JANUARY 20, 2025

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. In lower-resource settings, the evidence is stronger against a liberal approach to volume resuscitation. Andrews et al.

Dehydration 73

Dehydration Fluid Resuscitation Sepsis Resuscitation 73

Don't Forget the Bubbles

AUGUST 14, 2023

Short and long-term outcomes in Hirschsprung disease: Are the syndrome-associated patients really doing worse? Severe encephalitis: aetiology, management and outcomes over 10 years in a paediatric intensive care unit. Outcome of Absence Epilepsy With Onset at 8-11 Years of Age: Watershed Ages When Syndromes Overlap. 2023 Jul 27.

Pediatrics 52

Pediatrics Hospitals Emergency Department Outcomes 52