EMDocs

AUGUST 17, 2023

mL/kg/hr for 2 consecutive hours OR Decrease in serum lactate by more than 10% from initial level Primary outcome – Early norepinephrine group vs. the control group demonstrated higher rates of shock control at 6 hours: 76.1% vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4, vs 48.4% (OR 3.4,

Sepsis 67

Sepsis Shock Resuscitation Fluid Resuscitation 67

Taming the SRU

FEBRUARY 7, 2024

Tillotson and Hinckley Simulation Communication on arrival to a scene is key, both between you and your flight nurse before you enter the ambulance and with the EMS crew Reassessing the potential reasons for shock in a trauma is important to pick up causes that are not initially on your mind initially (blood products for hemorrhage, controlling a significant (..)

Administration 97

Administration PPE Ultrasounds Poisoning 97

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 88

CPR Burns Airway Management Wellness 88

ACEP Now

MARCH 14, 2024

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.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Taming the SRU

JUNE 24, 2024

Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Skin burns and irritation can also result from the pacing pads and cause pain. EMCrit Blog.

Advances Cardiac Life Support (ACLS) 88

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 88

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

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Most electrical injuries present with burns to the skin.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

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. Patients are going to be pretty sick often from multiple pathologies but COHb on its own is enough to produce severe neurological injury, shock and even cardiac injury is also quite prevalent.

Poisoning 52

Poisoning EMS Burns Shock 52

Pediatric Emergency Playbook

NOVEMBER 1, 2015

We have a few minutes to optimize, to resuscitate before we intubate. Etomidate is perfectly acceptable, but ketamine is actually a superior drug to etomidate in the rapid sequence intubation of children in septic shock. Types of shock mnemonic : this is how people COHDe – Cardiogenic, Obstructive, Hypovolemic, Distributive.

Shock 40

Shock Sepsis Airway Management Pediatrics 40

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. Whilst we’ve ‘re-discovered’ balanced resuscitation (first described by Cannon back after WWI), there remains some limited controversy – listen to this 2013 take from Simon Carley at St.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

Pediatric Emergency Playbook

OCTOBER 1, 2015

He is in compensated shock. The Huber needle is not a resuscitative line. Increased demand may be temporary, such as in burns, s/p cardiac surgery, or ay prolonged recovery. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

PEMBlog

JUNE 5, 2024

You should also consider the possibility of quote unquote spinal shock. than it is spinal shock. Resuscitate with volume and blood. And hypotension, bradycardia, or temperature instability can result from hemorrhagic and or spinal shock. This is due to the loss of sympathetic output and vasodilatation.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

JANUARY 1, 2017

Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. Minor burns can be treated topically and with oral medications. Major burns require IN, IM, or IV analgesics with morphine. Unexplained tachycardia may be the early signs of shock.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

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 63

Documentation/Coding Seizures Psychiatric Wellness 63

Dr. Smith's ECG Blog

JANUARY 11, 2025

Here is his triage ECG: Here is the digitized version with higher image quality: He was rushed to the resuscitation area for "unstable VTach." He had undergone stenting of the LAD several weeks ago (unclear whether elective for stable symptoms, or in response to acute coronary syndrome). Is it ventricular tachycardia?

EKG/ECG 128

EKG/ECG Shock Resuscitation Burns 128

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. Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. Andrews et al.

Dehydration 50

Dehydration Fluid Resuscitation Sepsis Resuscitation 50

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 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57