RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

Head Injuries 96

Head Injuries Airway Management Outcomes Burns 96

EM SIM Cases

DECEMBER 15, 2023

Dominique Piquette, academic Intensivist at Sunnybrook Hospital in Toronto, Ontario with updates from Dr. Sameer Sharif (Hamilton Health Sciences, Hamilton, Ontario) and Dr. Sophie Ramsden (Emergency Medicine Resident, McMaster University, Hamilton, Ontario) Why it Matters Major trauma patients sometimes decompensate after initial resuscitation.

Fractures 40

Fractures Resuscitation Academics Shock 40

EM SIM Cases

FEBRUARY 15, 2023

Most hospitals have a critical care outreach or rapid response team that can be activated in these cases. Case Summary 57-year-old female with known history of myasthenia gravis and thymoma is admitted to hospital 48 hours prior for CAP and started on Ceftriaxone and Azithromycin. Download Case Here: Download Case

Airway Management 40

Airway Management Academics Resuscitation Hospitals 40

PHEM Cast

APRIL 10, 2016

It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

EM SIM Cases

NOVEMBER 3, 2023

Ultimately, the patient will require admission to hospital for ongoing treatment. Heat Related Illness Download ECG Curtesy of Life in the Fast Lane, ECG Library for sinus tachycardia. Link can be found here.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG EMS Hospitals 52

EM SIM Cases

JANUARY 10, 2023

His academic interests are in education, simulation, and translational simulation; including where simulation can improve hospital and emergency department preparedness. DOWNLOAD CASE HERE GSW Vascular Injury Download He completed a fellowship in simulation through the U of O Skills and Simulation Centre.

Academics 40

Academics Emergency Department Hospitals Resuscitation 40

Downeast Emergency Medicine

APRIL 26, 2021

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. The primary outcome was head injury-related death in-hospital within 28 days of injury.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EM SIM Cases

AUGUST 17, 2023

Chris Ding, Jane Kim, Jessica Stetz, and Sigrid Wolfram of SUNY Downstate/Kings County Hospital Centre. Dr. Ding completed emergency medicine residency at SUNY Downstate/Kings County Hospital in Brooklyn, NY. lvad-pump-thrombosis Download This case comes to us from Drs.

Emergency Department 40

Emergency Department EMS Hospitals Resuscitation 40

PulmCCM

SEPTEMBER 9, 2021

Sylvia Plath Background Implicit in resuscitation is speed. Septic sheep randomized to early, rapid volume resuscitation had greater vasopressor requirements 12 hours after initial fluid bolus. The tertiary outcomes were ICU and hospital mortality and ICU and hospital length of stay. Jon-Emile S. older than 65 years; b.]

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

Rural Doctors Net

AUGUST 30, 2013

James and Casey are used to this kind of stuff (although Casey’s mostly in-hospital and has even got a CT scanner…James is used to working out of a tent wearing just rabbit skins). Allocate someone to activate ambulance, other clinical personnel, notify local hospital and give retrieval services a head’s up. The CAT will hurt.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

RebelEM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. Patients often succumb to volume overload given pre-existing cardiac disease and the volume of medical resuscitation through their hospital stay. Ask pharmacy to concentrate insulin from 1 unit/mL to 10 units/ml.

Poisoning 95

Poisoning Stroke Shock Administration 95

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Give appropriate fluids, vasopressors, and antibiotics.

Infectious Diseases 90

Infectious Diseases Administration Sepsis Anaphylaxis 90

RebelEM

DECEMBER 19, 2022

The authors sought to answer whether double defibrillation and/or vector change defibrillation lead to a greater number of RVF patients surviving to hospital discharge when compared to standard defibrillation therapy. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 6 PMID: 36342151 Cheskes S, et al.

EMS 52

EMS CPR Shock Resuscitation 52

EM SIM Cases

AUGUST 23, 2022

Dr. Brennan is an attending Emergency Physician at Kingston General Hospital and Emergency Medicine Residency Program Director at Queen’s University. Once the resuscitation begins, the mildly confused patient comments on the resident’s appearance “lucky me to get such a good-looking doctor” (gender stereotype 2).

Operations 40

Operations Resuscitation Wellness Hospitals 40

The Trauma Pro

NOVEMBER 12, 2024

The goal was to improve hospitals’ pediatric readiness through a self-administered survey. It was believed that by quantifying readiness, the hospitals would be better able to improve their scores via simple and, hopefully, inexpensive changes. This is of significance to both trauma and non-trauma hospitals.

Pediatrics 113

Pediatrics Emergency Nursing Hospitals Resuscitation 113

Don't Forget the Bubbles

AUGUST 13, 2023

You are called to the resuscitation bay in your ED following arrival of the expected pediatric alert. It is a 13-month-old female child with a history of two episodes of generalised clonic tonic seizures at home lasting for 3-5 mins, around 90 mins before presentation in the ED. (h/o

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

The Skeptics' Guide to EM

JANUARY 11, 2025

Scott is best known for talking to himself about Resuscitation and Critical Care on a podcast called EMCrit, which has been downloaded more than 50 million times. Intervention: sRCTs Comparison: mRCTs Outcome: Primary Outcome: Mortality assessed at specified time points such as hospital discharge or predefined follow-up periods.

Evidence-Based Practice 116

Evidence-Based Practice Outcomes Operations Emergency Department 116