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

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

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.

Emergency Department 52

Emergency Department Outcomes Sepsis Operations 52

Sensible Medicine

SEPTEMBER 18, 2023

Surgeons can operate on TR to either repair or replace the valve. But it’s a tough operation with high risk to the patient. Design of the Experiment: An important question in cardiology is if and when to operate on patients with TR. Sham operations are tough to do because of the ethical challenges.

Operations 133

Operations Academics Shock Outcomes 133

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 90

Sepsis Fluid Resuscitation Resuscitation Shock 90

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

PulmCCM

JUNE 5, 2023

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. Some states’ screening rates are 1%.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

RebelEM

NOVEMBER 20, 2023

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with 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 91

Resuscitation Operations Outcomes Hospitals 91

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

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

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 113

Hospitals Radiology Radiology Emergency Department 113

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

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

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

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

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

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

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

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: 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

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

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 105

OB/GYN Emergency Department Leadership Risk Management 105

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

Dr. Smith's ECG Blog

MARCH 17, 2025

Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Just look at all the research based on this ! How can any of that research be trusted when it classifies this as a success? A shocking finding. Echocardiogram showed inferior hypokinesis.

EKG/ECG 80

EKG/ECG Documentation/Coding Burns Research 80

EMDocs

JANUARY 16, 2025

Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock. Discordant identification of pediatric severe sepsis by research and clinical definitions in the SPROUT international point prevalence study. but PPV ranges from 25.1-39.5% 0.38 (95% CI 0.20-0.39) 0.39) AUROC of 0.71-0.92

Sepsis 94

Sepsis Pediatrics Shock Hospitals 94