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 133

Stroke Outcomes Hospitals Administration 133

All Ohio EM

OCTOBER 26, 2018

The criteria to start ECMO are witnessed arrest with bystander CPR within 10 minutes, ECMO started within 75 minutes (!), Corey Slovis would be horrified that I’m not listing 5 things for him, but the one pearl I wanted to emphasize: refractory acidosis in DKA, think abscess, sepsis, or dead gut. no terminal conditions or DNR.

CPR 52

CPR Sepsis Stroke EMS 52

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. 48 hours) to help her through the initial period of sepsis while her antibiotics take time to work.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Dr. Smith's ECG Blog

AUGUST 9, 2019

Chris' comments/questions: "Every "ST elevation in aVR" case I've ever seen has been triple vessel, insufficiency, or demand/global subendocardial ischemia secondary to some underlying sepsis/increased metabolic demand." "My My question is this: we are taught that aVR elevation with diffuse ST depression can be indicative of LMCA."

EKG/ECG 52

EKG/ECG Shock Emergency Department Wellness 52

Taming the SRU

SEPTEMBER 1, 2023

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

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

PulmCCM

MARCH 11, 2024

The results: The added palliative care did not result in any significant improvement in length of stay, in-hospital mortality, reduced ICU transfers, ICU mortality, use of CPR or mechanical ventilation. About 10,000 patients with automatic palliative care consults were then compared against ~14,000 receiving usual care, average age 78.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Taming the SRU

JUNE 6, 2023

Disposition Indications for admission GCS<15, focal neurological deficits, seizures Intractable vomiting Significant Abnormal CT results Discharge criteria Normal GCS, exam Caregiver at home Certain abnormal CT Isolated & non-depressed calvarial skull fractures <1cm diameter of solitary cerebral contusions <1cm width of epidural or (..)

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64