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Hypothermia and drowning

Don't Forget the Bubbles

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. You request a 12 lead ECG and repeat a blood gas, asking for it to be run on the PICU analyser.

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

RebelEM

The only statistically significant factor intra-arrest was the first ECG rhythm, which only had an odds ratio of 1.12, which is relatively low. However, we might expect on-scene advanced trauma resuscitation to prolong prehospital time sizably. Overall pooled favorable neurologic outcome: 13 studies 43.5% (95%CI 32.3-55.0)

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EM@3AM: Hyperthermia

EMDocs

A 12-lead EKG shows sinus tachycardia but is otherwise normal. football players, military). Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Temps greater than 41.5C Temps greater than 41.5C