Remove CPR Remove Hyperthermia / Hypothermia Remove Seizures
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The Latest in Critical Care, 1/29/24 (Issue #27)

PulmCCM

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
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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Patients with severe agitation from sympathomimetic poisoning require sedation to manage hyperthermia and acidosis, to prevent rhabdomyolysis and injury, and to allow evaluation for other life-threatening conditions. Flumazenil administration is associated with harm in patients who are at increased risk for seizures or dysrhythmias.

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2023 AHA Update on ACLS

EMDocs

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.

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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

Of the medical conditions reported, hypothermia was the largest group – the vast majority mild. Seizures, chest pain, intoxication, and deliberate self-harm were also reported. Each year a team usually reports CPR being delivered. What medical care can teams provide?

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Grand Rounds Recap 5.3.23

Taming the SRU

HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5 million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.