Taming the SRU

JULY 19, 2023

Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS (..)

Ultrasounds 83

Ultrasounds Leadership Hyperthermia / Hypothermia Poisoning 83

The Skeptics' Guide to EM

JANUARY 9, 2021

CPR is currently in progress with a single shock having been delivered. This has included things like therapeutic hypothermia ( SGEM#54 , SGEM#82 , SGEM#183 and SGEM#275 ), supraglottic devices ( SGEM#247 ), crowd sourcing CPR ( SGEM#143 and SGEM#306 ), and epinephrine ( SGEM#238 ).

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. degrees Celsius. 5,6 In 2021, the TTM2 trial was published. degrees Celsius for 72 hours. Click to enlarge.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Greater Sydney Area HEMS

APRIL 15, 2023

Don’t forget that every ambulance has a maternity kit with bunny rugs, surgical gown, umbilical cord clamps, nappy, tiny warm hat… Consider reducing the risk of hypothermia by working inside the ambulance, and warming the vehicle, particularly in winter. This is likely to be difficult in a shocked baby.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

Don't Forget the Bubbles

JUNE 26, 2023

But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

RebelEM

MARCH 30, 2023

Secondary Outcomes: Shock, ventricular tachycardia, and/or fibrillation within 48 hours after hospital admission. There are differences within the demographic: More women in the delayed group Delayed group had higher witnessed arrest and bystander CPR Delayed group had more non-shockable rhythms Protocol violations were common.

Hospitals 62

Hospitals Outcomes EKG/ECG Resuscitation 62

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. The ICU team are aware that this patient may require therapeutic hypothermia, continuous cardiac monitoring and may deteriorate to the point of arrest. Is it reversible?

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF).

EMS 52

EMS CPR Shock Resuscitation 52

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 63

Documentation/Coding Seizures Psychiatric Wellness 63