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REBEL Cast Ep114: High Flow O2, Suspected ACS, and Mortality?

RebelEM

Click here for Direct Download of the Podcast Paper: Stewart, RAH et al. Based on recent studies, current guidelines recommend that O2 should not be given to non-hypoxemic patients with STEMI or NSTEMI [2,3]. REBEL Cast Ep114 – High Flow O2, Suspected ACS, and Mortality? Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 aOR 0.78; 95% CI 0.63

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. When looking at the subgroups with severe shock, there was an 18.5% MI or stroke).

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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. Typical features include: HR >220bpm Narrow complex regular tachycardia P waves difficult to identify In this case there is no shock present so we can proceed to the right branch of the ALSG guideline.

EKG/ECG 98
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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Documents improvements in BVMs previously investigated and found deficient in FIO2. Download from Hindawi Publishing without additional data availability. Classic pre-EMS document describing rescue care by rural volunteer squads. Committee on Shock. Anesthesia & Analgesia, 56(2), 202-2 06. Abdo Khoury, M. Hugonnot, S.,

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

Click here for Direct Download of the Podcast Paper: Aykan AC et al. Because the lungs receive 100% of cardiac output, it has been hypothesized that a lower dose of thrombolytic therapy may still be effective with a better safety profile [3][4]. REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

Stroke 133
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How to prevent central line infections

PulmCCM

Download the central line checklist from John Hopkins here. For example, a patient who presented with shock and mitral regurgitation, received a central line for vasopressors on day 0, and was found to have bacteremia from blood cultures drawn on day 3 due to endocarditis would have a CLABSI, but not a CRBSI.

CDC 52
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Journal Club - Physician Depression and Suicide

Downeast Emergency Medicine

We chose this topic for Journal Club with the goals to raise awareness around these shocking statistics, discuss etiologies behind these high rates of suicide, and to normalize the discussion around physician mental health. All other applications were coded as “not consistent.” Download article summaries sHANAFELT ET AL.