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Episode 14: Thoracotomy

PHEM Cast

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

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5 Features of Philips Defibrillators You Need to Know About

AED Leader

When faced with a life-threatening situation, every second counts, and having a defibrillator that is easy to operate can make a significant difference. Philips defibrillators come with clear visual and audio prompts that guide users through each step of the resuscitation process.

CPR 52
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The Top 5 Features to Look for in a Cardiac Science AED Defibrillator

AED Leader

This durability is essential, particularly for businesses operating in demanding or outdoor environments. Real-Time CPR Feedback Performing cardiopulmonary resuscitation (CPR) correctly is crucial for the success of a resuscitation attempt. Yes, Cardiac Science provides a warranty on its AED defibrillators.

CPR 52
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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

RebelEM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

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Basic Fracture Management

Mind The Bleep

Appropriate first line management will help protect and resuscitate the soft tissues and keep the fracture still either to allow healing or until definitive management (operative fixation) is possible. Principles of Management Remember that a bone doesn’t fracture in isolation. The soft tissues are also damaged.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Natural psycho-physiological responses may alter perceptions during the life-threatening event. 8, 2012 12:12 a.m.