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Crafting And Refining Your Massive Transfusion Protocol – Part 3

The Trauma Pro

AUGUST 18, 2023

Presentation at your transfusion committee is fine, but this data is most suitable for presentation at the trauma operations committee. product ratios are way off) then it should also be discussed at your multidisciplinary trauma PI committee as well. You can download a copy by clicking here. Click here to check it out.

Administration

Administration Operations Hospitals Wellness

ECG Blog #376 — A 15yo with Fever.

Ken Grauer, MD

APRIL 23, 2023

S T- T Wave Changes — There is coved ST elevation in high-lateral leads I and aVL — as well as in lead V2 ( and to a much lesser extent in lead V1 ). The patient did well with conservative management — and both ECG and the rhythm abnormality resolved as his clinical condition improved.

EKG/ECG

EKG/ECG Wellness Operations Hospitals

Boating trauma

EM SIM Cases

SEPTEMBER 19, 2024

WHY IT MATTERS Patients in hemorrhagic shock require blood products expeditiously as well as identification and definitive management of the source of bleeding. Intubation for clinical course and pain management need to be addressed with disposition to the operating room. Boating Trauma Download [link] ECG Source = [link]

Shock

Shock Emergency Nursing Administration Operations

REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

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

Head Injuries Airway Management Outcomes Burns

REBEL Core Cast 94.0 – SBO

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations

Operations Sepsis Resuscitation Ultrasounds

Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. On arrival at hospital the child was well with normal observations. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. Family history. What are the important investigations?

EKG/ECG

EKG/ECG Hospitals Shock Documentation/Coding

Aseptic Training for Healthcare Providers

American Medical Compliance

FEBRUARY 15, 2023

The courses include module quizzes, downloadable materials, individual support, and questions for test preparation. No fines or fees are implemented as well. Hence, it is necessary to plan the core training well and the testing schedule accordingly. Most courses are offered in two formats: online and classroom.

Administration

Administration Infectious Diseases Operations Best Practices

HIPAA Training For Emergency Medical Services (EMS)

American Medical Compliance

FEBRUARY 15, 2023

The courses include module quizzes, downloadable materials, individual support, and questions for test preparation. No fines or fees are implemented as well. Hence, it is necessary to plan the core training well and the testing schedule accordingly. Most courses are offered in two formats: online and classroom.

EMS

EMS Administration Infectious Diseases Operations

All Cause Mortality, Again

Dr. No

DECEMBER 1, 2021

The way to get round this slippery data problem, as regular readers of this blog will know only too well, is to look at all cause mortality. Well, Dr No did try a bit of figuring, by looking at all cause deaths by age band in recent years, downloaded from this page. Just as it seems a strand is emerging, it slithers away again.

Forensics

Forensics Wellness Operations

Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Evaluation of Manually Operated Resuscitators CARDEN, E., & HUGHES, T.

Resuscitation

Resuscitation Military Operations Emergency Nursing

What Minimal Volume of Intravenous Fluid Challenges the Heart?

PulmCCM

JANUARY 4, 2022

As well, the volume of administration might be much lower than 500 mL, with previous research indicating that 4 mL/kg of crystalloid was an optimal volume needed to increase mean systemic filling pressure. The area under the receiver operator curve for each aliquot of 50 mL increased up to a total of 250 mL administered with a value of 0.93

Wellness

Wellness Outcomes Sepsis Stroke

Balanced Fluid Resuscitation for the Critically-Ill: the PLUS study mirrors the BaSICS

PulmCCM

FEBRUARY 28, 2022

45% of patients were admitted to the ICU directly from operating or recovery rooms, 79% were mechanically-ventilated and 42% had sepsis. As well, after randomization, 63% of patients randomized to balanced fluids received 500 mL or more of open-label saline, while only 3.5% Download his free textbook here.

Fluid Resuscitation

Fluid Resuscitation Resuscitation Outcomes Sepsis

CASE #6 UPDATE – FIND THE BLEEDING, STOP THE BLEEDING

Rural Doctors Net

AUGUST 30, 2013

Imagine being able to stream or access a downloaded 60 sec video file on how to perform a critical procedure – not a tool for novices, but a useful aide memoire for rural clinicians who may only do this stuff once in a blue moon. You can make a good argument for early intubation. CIRCULATION Finally onto circulation.

Burns

Burns Hospitals Wellness Ambulance Services

REBEL Cast Ep121: The Battle of the Blades – Video Laryngoscopy vs. Direct Laryngoscopy

RebelEM

JULY 31, 2023

REBEL Cast Ep121: The Battle of the Blades – VL vs DL Click here for Direct Download of the Podcast Article: Prekker ME, Driver BE, Trent SA, et al. Operators had performed a median of 50 previous tracheal intubations (Range 25 to 92) The median proportion of previous intubation operators performed with VL was 0.69.

Operations

Operations Outcomes Emergency Department Airway Management

Sickle Cell Disease Module

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. What could be the differential diagnosis?

Blood Transfusions

Blood Transfusions Stroke Dehydration Sepsis

Allyship: Gendered Microaggressions

EM SIM Cases

AUGUST 23, 2022

Because this case can be triggering, especially for individuals having experienced previous microaggressions, careful selection of actors and participants, as well as pre-briefing the resident leading the case far ahead of time are crucial. This means she was aware beforehand that she would be having this experience.

Operations

Operations Resuscitation Wellness Hospitals

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

DECEMBER 19, 2022

REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. While many healthcare systems across the world operate in a similar fashion, the United States does not. Defibrillation Strategies for Refractory Ventricular Fibrillation.

EMS

EMS CPR Shock Resuscitation

"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. All efforts to identify the decedent by hospital staff, law enforcement agencies or social service agencies should be well documented in the medical records.

Documentation/Coding

Documentation/Coding Forensics CDC Fractures