Downeast Emergency Medicine

APRIL 26, 2021

The primary outcome was 30-day mortality with secondary outcomes looking at 24 hour in-hospital mortality, blood resuscitation at 6 and 24 hours, incidence of multiorgan failure, ARDS, nosocomial infection, early seizures, PE/DVT, crystalloid resuscitation after 24 hours, and the incidence of coagulopathy. MI or stroke).

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

ETM Course

JULY 9, 2015

And feel free to run your own trials and let us know if they’re similar or different! For more information on the various types of large bore IV access check out our post on large bore vascular access devices.

Shock 52

Shock Resuscitation 52

PulmCCM

NOVEMBER 17, 2023

Operating point guided resuscitation How do we make sense of this? The trick, I believe, lies in ‘operating point guided resuscitation’ [OPGR]. Put another way, because the OP is comprised of both P ra and CO/SV, both values are quantified or qualified at each step of resuscitation. Download his free textbook here.

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

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.

Seizures 95

Seizures Pediatrics Dehydration Radiology 95

RebelEM

JUNE 26, 2023

Click here for Direct Download of the Podcast Paper: Bouzat P et al. Clinical Take Home Point: In adult patients with trauma at risk of massive transfusion, receiving standard trauma resuscitation management, the addition of 4F-PCC did not result in a decrease in blood product consumption over 24 hours compared to placebo.

Administration 144

Administration Outcomes Resuscitation Radiology 144

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. N Engl J Med.

EMS 52

EMS CPR Shock Resuscitation 52

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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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

RebelEM

JANUARY 25, 2023

2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

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. For the spontaneously breathing patient, there can be significant differences in FiO2.

Burns 52

Burns Hospitals Wellness Ambulance Services 52

PulmCCM

JANUARY 4, 2022

’ What they found 45 critically-ill patients were included with a 28-day mortality rate of 29%; distributive shock was the most common cause of circulatory failure with sepsis being the most common cause of distributive physiology. Download his free textbook here. ED50] and in 90% [i.e., mL/kg and 4.2 mL/kg, respectively.

Wellness 40

Wellness Outcomes Sepsis Stroke 40

RebelEM

MAY 15, 2024

REBEL Core Cast 122.0 – Neutropenic Fever Click here for Direct Download of the Podcast. Identify low risk patients and send them home with PO antibiotics and close oncology follow-up in conjunction with your oncologist. Give appropriate fluids, vasopressors, and antibiotics.

Infectious Diseases 96

Infectious Diseases Administration Sepsis Anaphylaxis 96