PulmCCM

JANUARY 29, 2024

Patients presenting with hypothermia should not be warmed too quickly (allowing their temperature to increase by <0.5°C/hour). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., °C/hour). PEA and asystole).

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

EMDocs

JANUARY 8, 2024

Avoid routine seizure prophylaxis in adult survivors of cardiac arrest (Level 3: no benefit), but treat seizures if they occur (Level 1: strong). For patients with OHCA, use of steroids during CPR is of uncertain benefit. o C recommended (Level 1: strong). COR 2b, LOE B-R. COR 2b, LOE C-LD. COR 3, No benefit, LOE B-R.

Seizures 82

Seizures Shock CPR Hyperthermia / Hypothermia 82

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. Flumazenil administration is associated with harm in patients who are at increased risk for seizures or dysrhythmias. COR No Benefit, LOE C-EO. COR Harm, LOE B-R. COR 1, LOE C-LD.

Poisoning 94

Poisoning Hyperthermia / Hypothermia Seizures Administration 94

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, HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5

Documentation/Coding 60

Documentation/Coding Seizures Wellness Psychiatric 60