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Organophosphate Poisoning

EM SIM Cases

Organophosphate poisoning is a well-known (but rare in developed nations) toxidrome with specific antidotes available for patient treatment and survival. He looks so unwell that he is placed into the resuscitation bay. Organophosphate poisoning Download Case courtesy of Frank Gaillard, Radiopaedia.org.

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REBEL Core Cast 103.0 – Caustic Ingestions

RebelEM

REBEL Core Cast 103.0 – Caustic Ingestions Click here for Direct Download of the Podcast Definition and Physiology Caustics are xenobiotics that cause damage (functional and histologic) upon contact with tissue. General resuscitation with broad spectrum antibiotics and volume resuscitation if the patient appears to be septic.

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

PulmCCM

Further, the treating clinician must have deemed either normal saline or balanced crystalloid as appropriate resuscitation options; the patient’s expected-admission to the ICU must have been at least 3 days. saline crystalloid resuscitation, the inter-trial evaluations become murkier, though seemingly less tendentious.

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Crafting And Refining Your Massive Transfusion Protocol – Part 3

The Trauma Pro

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. Presentation at your transfusion committee is fine, but this data is most suitable for presentation at the trauma operations committee. Click here to check it out.

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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

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. Czech Military resuscitation kit, 1969, mfr.

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REBEL Cast Ep116: The CLOVERS Trial – Restrictive vs Liberal Fluids in Sepsis-Induced Hypotension

RebelEM

Background: IV fluids are part of the standard resuscitation bundle in septic shock, however it is unclear if they provide a significant benefit. However, there is a lack of robust evidence to help guide what fluid and vasopressor strategy is best in patients with septic shock. Liberal: 14.9% Estimated Difference: -0.9%; 95% CI 04.4

Sepsis 100
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First10EM Journal Club: February 2024

Broome Docs

As is always the case – the papers we discuss are free to download by just clicking the links in the sections below… so don’t trust me, go read them for yourself! Doctors who treat one must be experts in the other as well. Should you replace fingernails on crushed digits? Should anybody be doing REBOA in 2024?