Remove Burns Remove Resuscitation Remove Ultrasounds
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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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Grand Rounds Recap 4.10.24

Taming the SRU

cm is normal Hazard ratio in patients with abnormal TAPSE in normotensive patients is high even though the patient is currently hemodynamically stable Acute vs chronic right heart strain Acute McConnell’s sign: apical hypokinesis with RV free wall hypokinesis Will be present in all causes of increased RV pressure including PE, pulmonary HTN, etc.

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Grand Rounds Recap 1.31.24

Taming the SRU

Ultrasound: Make “windows of access”. The Aircare package to increase DASH-1A airways includes placing patient on AirCare monitor, apneic oxygenation, 3 minutes NRB, bagging after paralytic given, starting only when patient > 97%, push dose pressors if needed for hypotension before paralytic, and make sure to use the checklist!

PPE 98
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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. Place ultrasound machine on the opposite side of the bed to minimize neck strain.

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Grand Rounds Recap 9.6.23

Taming the SRU

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 90
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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Skin burns and irritation can also result from the pacing pads and cause pain. Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. AP placement was proven to be capture at a lower current than the AL placement in the same patients, thus more effective. [5] EMCrit 310 – Transvenous Pacemakers.

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

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.