EMDocs

NOVEMBER 6, 2023

Use of 20% intravenous lipid emulsion can be efficacious in the resuscitation of life-threatening local anesthetic toxicity, especially from bupivacaine. Life-Threatening Cocaine Toxicity We recommend rapid external cooling for life-threatening hyperthermia from cocaine poisoning. Try calcium; consider pacing! COR 1, LOE C-LD.

Poisoning 106

Poisoning Hyperthermia / Hypothermia Seizures Administration 106

Greater Sydney Area HEMS

APRIL 15, 2023

At one of our recent education days we heard Dr Mark Russell and Dr Mark Newcombe deliver excellent presentations of cases which they had been involved in, involving resuscitative hysterotomy and neonatal resuscitation respectively. Resuscitate in air first, and use higher inflation pressures than you would with adults.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

The Skeptics' Guide to EM

OCTOBER 24, 2020

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. Unfortunately, most patients don’t receive these crucial interventions.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

ACEP Now

APRIL 3, 2024

Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Finally, the guidelines support active temperature management’s (though not necessarily hypothermia) role in improving post-arrest outcomes. degrees Celsius. Click to enlarge.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

The Skeptics' Guide to EM

JANUARY 9, 2021

Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

His primary interests are resuscitation, prehospital critical […] The post SGEM#231: You’re So Vein – IO vs. IV Access for OHCA first appeared on The Skeptics Guide to Emergency Medicine. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

The Skeptics' Guide to EM

MARCH 2, 2019

It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. Key to survival is high-quality CPR and early defibrillation. Airway management in place when ROSC was achieved, or resuscitation was discontinued. What should you tell him?

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. The resuscitation team arrives and ACLS protocols are continued. This contrasts with what the public sees watching CPR being done on TV. The issue of whether corticosteroids should be administered is brought up during the code.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

EMDocs

JANUARY 8, 2024

For patients with OHCA, use of steroids during CPR is of uncertain benefit. Extracorporeal CPR Use of ECPR for patients with cardiac arrest refractory to standard ACLS is reasonable in select patients when provided within an appropriately trained and equipped system of care. COR 2b, LOE B-R. COR 2b, LOE C-LD. COR 2b, LOE C-LD.

Seizures 93

Seizures Shock CPR Hyperthermia / Hypothermia 93

The Skeptics' Guide to EM

AUGUST 14, 2021

They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). This has included the classic paper from Legend of EM Dr. Ian Stiell on BLS vs. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ).

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

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. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. 4 Another study cited only 2.3

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. The JET is treated by deepening sedation (to minimise exogenous and endogenous catecholamines), optimizing electrolytes and active mild hypothermia.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Mind The Bleep

OCTOBER 17, 2024

Clinically, your enthusiasm for providing maximal quality care needs balanced against rescue practicalities and a hostile environment (very different to your warm, dry resuscitation bay) – the cold makes all veins disappear…and you may be the only clinician responder at the scene. Each year a team usually reports CPR being delivered.

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

RebelEM

MARCH 30, 2023

Clinical Question : In patients who suffer an OHCA without ST-segment elevation on the post-resuscitation ECG, will early coronary angiogram (CAG) vs. delayed CAG improve outcomes? However, there are no clear guidelines for management in post-cardiac arrest patients without ST-segment elevations on ECG. Bougouin, W., Varenne, O., Daviaud, F.,

Hospitals 57

Hospitals Outcomes EKG/ECG Resuscitation 57

Mind The Bleep

FEBRUARY 9, 2024

Whilst some patients may not be for CPR or intubation and ventilation, they may be appropriate for other treatment options offered in ITU, such as inotropes. Because she would not be for intubation, they discuss resuscitation status because, naturally, care during- and post-arrest would involve airway support.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

EMDocs

JANUARY 16, 2024

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Resuscitation CPR EMS 97

Dr. Smith's ECG Blog

OCTOBER 26, 2020

12 minutes later, the patient went back into VFib arrest and underwent another 15 minutes of resuscitation followed by successful defibrillation and sustained ROSC. In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts. The patient received therapeutic hypothermia at 33 degrees C for 24 hours.

EKG/ECG 40

EKG/ECG Hyperthermia / Hypothermia Wellness CPR 40

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Peter Josef Safar in 2003, who is often called "The Father of Cardiopulmonary Resuscitation," or noted citations of his work in articles written and references given by me here at AENJournal.com and the Advanced Emergency Nursing Blog. " established that exhaled air was a satisfactory gas for resuscitation.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

RebelEM

DECEMBER 19, 2022

In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.

EMS 52

EMS CPR Shock Resuscitation 52

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

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Chest compressions and ventilation were begun.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation 40

PulmCCM

JANUARY 20, 2025

New guidelines on cardiopulmonary resuscitation in adults were published in Circulation in November 2024. Who Writes the CPR Guidelines? The International Liaison Committee on Resuscitation (ILCOR) is comprised of experts on resuscitation around the world. How Evidence-Based Are the CPR Guidelines?

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59