RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence. Lancet Respir Med. 2014 Aug;2(8):638-46.

Ultrasounds 129

Ultrasounds Outcomes COPD Hospitals 129

AED Leader

SEPTEMBER 28, 2024

Key takeaways AEDs, like the Philips HeartStart OnSite and ZOLL AED Plus, help save lives during sudden cardiac arrest by checking the heart’s rhythm and delivering a shock if needed. When buying an AED, consider where it will be used, how easy it is to operate, and maintenance costs. They are easy for anyone to use.

CPR 52

CPR Shock Pediatrics Operations 52

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. A recent observational study was performed to pragmatically assess clinically meaningful differences in BP in a diverse critically ill cohort with shock. Damping Damping is essentially the shock absorbers in the pressurized system.

Shock 59

Shock Resuscitation Ultrasounds Research 59

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. They analyze heart rhythms and provide shocks if needed to restore a normal heartbeat. Devices with simple instructions make it easier for anyone to operate them during crises.

Pediatrics 52

Pediatrics Shock Operations Wellness 52

AED Leader

JULY 7, 2024

The Role of AEDs in Saving Lives An Automated External Defibrillator ( AED ) is a portable device that delivers an electric shock to the heart to restore its normal rhythm. AEDs analyze the heart’s rhythm and deliver a shock only if necessary, ensuring the safety of both the user and the victim.

Shock 52

Shock CPR Operations Resuscitation 52

Critical Care Now

JULY 7, 2024

Military practice guidelines, along with ACEP and the American College of Surgeons, recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.

Resuscitation 52

Resuscitation Military Outcomes Hospitals 52

Greater Sydney Area HEMS

APRIL 26, 2023

Thus, ST management has been heavily based on lay opinion, and until recently, lightly on peer-reviewed research. In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). . References 1.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

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." 1950s & 1960s Resuscitation Research. Increasing public usage of EDs for care.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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

ACEP Now

SEPTEMBER 13, 2023

Emergency Medicine research was and still is tremendously underfunded,” says John E. He’d hoped to establish a lead federal agency and funded emergency care research center at NIH, as well as concerted national attention to solve ER crowding, boarding inpatients in hallways and EMS diversion.

EMS 45

EMS Research Academics Military 45

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. Research brands with good reputations in medical equipment. Your pulse quickens; your thoughts scatter. You snatch it.

CPR 52

CPR Shock Operations Resuscitation 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

PulmCCM

JANUARY 4, 2022

As well, the volume of administration might be much lower than 500 mL, with previous research indicating that 4 mL/kg of crystalloid was an optimal volume needed to increase mean systemic filling pressure. The area under the receiver operator curve for each aliquot of 50 mL increased up to a total of 250 mL administered with a value of 0.93

Wellness 40

Wellness Outcomes Sepsis Stroke 40

RebelEM

NOVEMBER 3, 2022

It is unclear if researchers followed specific validated systematic review process guidelines such as PRISMA. The environment, operator-related factors, and equipment are different in a pre-hospital vs. ED setting. Limitations: Non-English papers were excluded. Bibliographies of included studies were not searched.

Outcomes 52

Outcomes Emergency Department Sepsis Hospitals 52

ACEP Now

SEPTEMBER 3, 2024

While secrecy surrounds the operations of many PE-owned groups, Envision serves as a case study. He was shocked when the hospital CEO took him up on it, but a year later, volumes increased 30 percent with his emphasis on quality rather than cost-cutting. Center for Economic and Policy Research (CEPR). The New Yorker. J Hosp Med.

Hospitals 69

Hospitals Radiology Radiology Administration 69

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

MARCH 4, 2024

Article 1: Infections in Foreign Travellers Bird C, Hayward GN, Turner PJ, Wasala D, Merrick V, Lyttle MD, Mullen N, Fanshawe TR; for Paediatric Emergency Research in the UK and Ireland (PERUKI). International Consensus Criteria for Pediatric Sepsis and Septic Shock. Paediatr Int Child Health. 2024 Jan 11:1-7. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

DECEMBER 18, 2023

Septic shock is high on the differential diagnosis for this patient’s presentation. Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. What are the most up-to-date guidelines for managing this patient?

Sepsis 65

Sepsis Fluid Resuscitation Resuscitation Shock 65

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

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. While many healthcare systems across the world operate in a similar fashion, the United States does not.

EMS 52

EMS CPR Shock Resuscitation 52

ACEP Now

SEPTEMBER 10, 2024

As she continues to bleed, she becomes progressively tachycardic and hypotensive, entering hemorrhagic shock, requiring an emergent procedure in order to preserve her health and save her life.  Now imagine she lives in a state with laws that restrict clinicians from performing abortion care, even in emergency scenarios.

OB/GYN 59

OB/GYN Emergency Department Leadership Hospitals 59

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: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40