AED Leader

JUNE 17, 2024

These devices are designed to analyze the heart rhythm and deliver a potentially life-saving electric shock called defibrillation to restore the heart’s normal rhythm. In a high-stress situation, having an AED that can be easily operated by anyone without medical training is crucial. Q: Can an AED be used on children or infants?

CPR 52

CPR Pediatrics Shock Operations 52

AED Leader

JULY 1, 2024

Its user-friendly design ensures trained professionals and laypersons can confidently operate it during an emergency. It features ADAPTIV biphasic waveform technology, which adjusts energy levels based on the patient’s needs, ensuring effective and safe defibrillation shocks.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. Check out DFTB’s module on SIRS, Sepsis and Shock Module – Don’t Forget the Bubbles (dontforgetthebubbles.com) Why does it matter?

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

AED Leader

JUNE 11, 2023

Studies have shown a greater likelihood of survival when a bystander used an AED (67%) rather than waiting for emergency medical services to shock the patient (43%). Following these instructions is critical to the safe and effective functioning of your defibrillator.

Best Practices 52

Best Practices Shock Pediatrics CPR 52

Taming the SRU

JULY 31, 2024

morbidity and mortality - faculty case follow-up - R4 Capstone - high-risk, low prevalence diseases in pediatrics morbidity and mortality WITH dr. moulds Syncope Complete heart block is a rare but important cause of syncope P waves outnumbering QRS complexes should clue to you to high grade heart block Triage EKGs are often obtained to screen for cardiac (..)

EKG/ECG 52

EKG/ECG Sepsis Documentation/Coding Stroke 52

ACEP Now

MARCH 14, 2024

First reported in 1879 in the case of diphtheria in a pediatric patient, TIF is fatal without surgical treatment due to hemorrhage and failure of airway security. The high mortality post-operatively may be related to difficulty in controlling hemorrhage, high infection rates, or other comorbid conditions. European J Pediatr Surg Rep.

Operations 52

Operations Pediatrics Radiology Radiology 52

AED Leader

DECEMBER 2, 2024

Defibrillation: Once a dangerous rhythm is detected, the AED delivers a controlled electric shock to help restore normal heart rhythm. An important feature is the ability to adjust shock levels, which can be crucial for patient survival. Always check if an AED has a pediatric setting, as this is vital for treating children.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

Advanced Emergency Nursing from AENJ

NOVEMBER 24, 2016

An elderly lady in cardiogenic shock (BP 60/40) with no veins , I was lucky to get a 24-gauge PIV into the back of her wrist. Intraosseous Infusion. Not as often resorted to promptly, as it should be. It was all she had. GPS, Mobile Data Terminals, and Cell Phones. Readers must verify validity to their own practice.

Emergency Nursing 40

Emergency Nursing Seizures CPR Wellness 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

AUGUST 30, 2023

This finding was not significantly different among operators with different levels of experience, or between adults and children. The diagnostic accuracy of fecal calprotectin during the investigation of suspected pediatric inflammatory bowel disease. World J Gastroenterol. 2015 Oct 28;21(40):11246-59. doi: 10.3748/wjg.v21.i40.11246.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

Pediatric EM Morsels

NOVEMBER 3, 2023

Both have a range of detection limits, which can be greatly dependent on operator. Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. Pediatr Emerg Care.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EMDocs

DECEMBER 6, 2024

Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. 6 Severe toxicity and shock are typically seen with serum iron concentrations above 500 g/dL and serum iron concentrations above 1000 g/dL are associated with significant mortality. Arch Pediatr Adolesc Med.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

The Skeptics' Guide to EM

DECEMBER 14, 2024

Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Background: Pediatric sepsis is a major global health concern, causing an estimated 3.3 The 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria were established based on expert consensus and used for diagnosis.

Sepsis 103

Sepsis Pediatrics Shock Hospitals 103

AED Leader

SEPTEMBER 24, 2024

Key takeaways Automated External Defibrillators (AEDs) increase survival rates by detecting irregular heart rhythms and delivering shocks during cardiac arrest. Various AED models exist, including those designed for home use with features like pediatric mode and self-testing capabilities. The process is straightforward.

Pediatrics 52

Pediatrics Shock Operations Wellness 52

Don't Forget the Bubbles

JUNE 30, 2023

Ranulf went white with the shock. These procedures require an experienced operator. A joint statement released by the American College of Surgeons/American College of Emergency Physicians recommends that zone 1 REBOA should only be performed if the anticipated time to start the operation is less than 15 minutes. J Pediatr Surg.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

AED Leader

APRIL 26, 2024

A defibrillator is a device that delivers an electric shock to the heart in cases of sudden cardiac arrest, restoring its normal rhythm. These devices are designed to deliver an electric shock to the heart, which helps restore its normal rhythm. These devices deliver a lower energy shock and are suitable for pediatric patients.

Shock 52

Shock Pediatrics CPR Operations 52

AED Leader

APRIL 29, 2024

AEDs are portable devices that can be used to deliver an electric shock to the heart in case of sudden cardiac arrest (SCA), a condition that can strike anyone, anywhere, at any time. Following these prompts, anyone can effectively administer CPR and deliver a shock if necessary. Can AEDs be used on children?

Shock 52

Shock Resuscitation Pediatrics CPR 52

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

JUNE 1, 2017

The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. Fontan Operation and the Single Ventricle. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. In pediatric trauma, we need to be proactive. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. Brenner et al.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

AED Leader

SEPTEMBER 20, 2024

It provides directions, leading every step – verify breathing, shout for aid, hit the shock button if required. And let’s not forget about those automatic shock adjustments and pediatric modes. Your pulse quickens; your thoughts scatter. Then it hits you: you have a defibrillator at home. You snatch it.

CPR 52

CPR Shock Operations Resuscitation 52

Pediatric Emergency Playbook

MARCH 1, 2016

On arrival, he was in compensated shock, with tachycardia. Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Semin Pediatr Surg. He decompensates and needs blood.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Don't Forget the Bubbles

MAY 10, 2023

A shocked friend is being ushered out of the way. Then the patient is rapidly moved to the operating theatre. Closed-Loop Communication Improves Task Completion in Pediatric Trauma Resuscitation. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Don't Forget the Bubbles

JULY 26, 2023

For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. Typical features include: HR >220bpm Narrow complex regular tachycardia P waves difficult to identify In this case there is no shock present so we can proceed to the right branch of the ALSG guideline.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. Mouth-to-Airway (adjunct). Advanced Emergency Nursing Blog.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

ACEP Now

SEPTEMBER 13, 2023

References National Academy of Sciences (US) and National Research Council (US) Committee on Trauma; National Academy of Sciences (US) and National Research Council (US) Committee on Shock. Accidental Death and Disability: The Neglected Disease of Modern Society. Washington (DC): National Academies Press (US); 1966. National Academics.

EMS 45

EMS Research Academics Military 45

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Evaluation: Manually Operated Resuscitators (1971) Emergency Care Research Institute.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

EB Medicine

AUGUST 1, 2018

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 Jeff: For more on synthetic intoxications in the ED, be sure to take a look at the recent May 2018 issue of Pediatric Emergency Medicine Practice on Synthetic Drug Intoxication in Children if you haven’t already read it.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Pediatric Emergency Playbook

JANUARY 1, 2017

The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology. As the pendulum on pain management swings one way or the other, do not let your pediatric patient get knocked by the wayside. They do not understand rational or logical thinking.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

OCTOBER 28, 2024

These definitions include blood loss of 40 mL/kg over 24 hours, transfusion of ≥50% of total blood volume in 3 hours, transfusion of 100% of total blood volume in 24 hours, and bleeding with clinical signs of hypovolaemic shock that is unlikely to be controlled. This makes comparing data across research trials challenging.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Pediatric EM Morsels

MARCH 7, 2025

Let’s take a moment to review TXA (Tranexamic Acid) in Pediatrics! Wouldnt it be nice if there were adjuncts to prevent further bleeding or add benefit when blood may not be option (prehospital)? Enter TXA or tranexamic acid , The Clot Stabilizer!Let’s mg/kg [Nishijima 2016] Poorly studied in renally impaired patients.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 96

Sepsis Fractures Documentation/Coding Administration 96

EMDocs

JANUARY 16, 2025

Authors: Kyle Smiley (EM Resident, BAMC, San Antonio, TX) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Welcome to Critical Kids, an emDOCs series focused on pediatric emergency medicine. Pediatric emergencies are challenging. Well provide summaries of the evidence to support your decisions at the bedside.

Sepsis 94

Sepsis Pediatrics Shock Hospitals 94

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126