Dr. Smith's ECG Blog

FEBRUARY 2, 2017

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed. CASE : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia.

EKG/ECG 52

EKG/ECG Resuscitation Administration CPR 52

EMDocs

JANUARY 11, 2024

Data that do not establish neurological risk stratification in the first 6 hours after CA include the patient’s age, duration of CPR, seizure activity, serum lactate level or pH, Glasgow motor subscore in patients who received NMB or sedation, pupillary function in patients who received atropine, and optic nerve sheath diameter (95.3%, 20/21).

Seizures 97

Seizures Shock Infectious Diseases CPR 97

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

PulmCCM

APRIL 7, 2025

Families should be invited to be present during codes (CPR), with a dedicated staff member at their side. Through the rhetorical choice to never state who its document is intended for, the guideline authors blur the lines between “the system” and you. That’s a problem, as we’ll see.

Documentation/Coding 69

Documentation/Coding Outcomes Research CPR 69

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., three shocks with 2 minutes CPR in between) have been performed. ECMO used as CPR is referred to as ECPR.)

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

RebelEM

JANUARY 29, 2024

What They Did: Single-center, pilot prospective observational cohort trial in Turkey Thrombolysis 25mg of alteplase without a bolus was administered over 6 hours by peripheral IV infusion If hemodynamic instability persisted despite first dose of thrombolysis, a second 6hr infusion of 25mg alteplase without bolus was administered (No patients in the (..)

Stroke 136

Stroke Outcomes Hospitals Administration 136

AED Leader

AUGUST 22, 2024

Drawing from my extensive experience as a CPR instructor and emergency responder, I’ve witnessed firsthand how rapid deployment and proper usage of AEDs can mean the difference between life and death during neurological emergencies. Importance of CPR training CPR training is critical for anyone responding to a medical emergency.

CPR 52

CPR Shock Operations Outcomes 52

Don't Forget the Bubbles

JULY 26, 2023

Low risk BRUE: Age >60 days Gestational age >32/40 Post conceptual age >45 weeks First episode No CPR given (by a trained medical provider) No concerning history or examination findings (eg FHx sudden cardiac death) Where the above features are present then investigation and hospital stay can be limited.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR. Accessed July 28, 2014 **Quoting original documents of fascinating history. Study finds EMS able to do more tasks, document better, perform physiological monitoring, with use of ATV. Grainge, C. Copass, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

Dr. Smith's ECG Blog

APRIL 8, 2016

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. The Western Trauma Association broadens the ED thoracotomy window a bit to include anyone with no signs of life but less than 10 minutes of CPR. The latter also recommend ED thoracotomy in those with refractory shock.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

American Medical Compliance

MARCH 14, 2025

The outside component should contain: Hand rub Hand soap, and Paper towels The inside of the bag may normally contain a: BP cuff Stethoscope CPR mask Disposable gown Mask, and Goggles This would vary from agency to agency. This bag should have an outside pocket and a zipper for access to the inside of the bag.

Best Practices 52

Best Practices Patient Safety CPR Wellness 52

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

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

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. During the resuscitation, she received amiodarone 450 mg IV, lidocaine 100 mg IV, and magnesium 6 g IV. Galiuto, L., Yoshida, T.,

EKG/ECG 75

EKG/ECG CPR Resuscitation Wellness 75

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.

Resuscitation 40

Resuscitation Airway Management EMS CPR 40