EM SIM Cases

DECEMBER 15, 2023

Sophie Ramsden (Emergency Medicine Resident, McMaster University, Hamilton, Ontario) Why it Matters Major trauma patients sometimes decompensate after initial resuscitation. Download Case Here Crit Care 3- Spinal cord injury Download

Fractures 40

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It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised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

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

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

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 abovementioned ovine resuscitation study gave a fluid bolus at 40 mL/kg over 1 hour – a rate of 47 mL/min in a 70 kg adult.

Resuscitation 40

Resuscitation Fluid Resuscitation Sepsis Outcomes 40

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

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

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 97

Seizures Pediatrics Dehydration Radiology 97

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

RebelEM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. Background and Physiology Shock secondary to beta-blocker (BB) or calcium-channel blocker (CCB) toxicity bears a tremendous degree of morbidity and mortality.

Poisoning 105

Poisoning Stroke Shock Administration 105

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 104

Infectious Diseases Administration Sepsis Anaphylaxis 104

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