RebelEM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

The Trauma Pro

APRIL 5, 2024

.” Frequently, it is possible to have a resident (at an appropriate training level) or advanced practice provider (APP) see the new patient while the surgeon is tied up, say in the operating room. They just can’t operate on them. What if the surgeon is in the OR? In my opinion, no. mangled extremity).

Operations 113

Operations Resuscitation Hospitals 113

ACEP Now

JULY 7, 2023

One operator should perform defibrillation in the anterolateral position, followed by another operator providing a second shock in the anteroposterior position after a delay of less than one second. Resuscitation. Resuscitation. Resuscitation. Resuscitation. Resuscitation. 2022;175:105-112.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

EMDocs

JANUARY 11, 2025

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

EMS 97

EMS Sepsis Shock Fluid Resuscitation 97

Greater Sydney Area HEMS

NOVEMBER 4, 2023

A change of operator or removal of the blade from the mouth ends the attempt). This patient was intubated as part of resuscitation after drowning. first pass success rate from RSI. These learning points form part of our commitments to excellence, governance and education. This older child had a reduced GCS.

Airway Management 144

Airway Management Burns Operations Resuscitation 144

Mind The Bleep

DECEMBER 27, 2024

Air Ambulance Charities operate many air ambulances in the UK and have associated rapid response cars for when the weather doesnt allow for flying. Its operated by the ambulance service, however, some other NHS boards have their own services which leave directly from the Emergency Department (for example, NHS Lothians Medic 1).

Hospitals 52

Hospitals Ambulance Services Operations Teamwork 52

EMDocs

SEPTEMBER 7, 2024

Laborator evaluation: CBC, CMP, lipase, type and screen, coagulation panel Treatment: 1-3 Resuscitation with blood products as necessary for hemodynamic stability. However, this patient’s response to fluid resuscitation, though only minimal to modest, indicates his ongoing bleeding is temporized with typical volume-mediated resuscitation.

EMS 97

EMS Fluid Resuscitation Resuscitation Radiology 97

Don't Forget the Bubbles

JUNE 17, 2024

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. Conclusion Critical care resuscitation is stressful.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

Taming the SRU

JULY 24, 2024

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor. Importantly, only patients triaged to resuscitation bays were enrolled. sensitivity, 84.9% sensitivity, 87.2%

Sepsis 90

Sepsis Resuscitation Emergency Department Wellness 90

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

EMDocs

NOVEMBER 1, 2023

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. 4 Fluid resuscitation and vasopressor use as appropriate.

Operations 92

Operations Radiology Radiology Fluid Resuscitation 92

RebelEM

OCTOBER 2, 2023

Background: DKA is traditionally treated with fluid resuscitation, electrolyte replacement, and intravenous infusions of insulin. The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics. The SQuID Protocol (Subcutaneous Insulin in /diabetic Ketoacidosis): Impacts on ED Operational Metrics.

Operations 102

Operations Academics Fluid Resuscitation Outcomes 102

PHEM Cast

APRIL 27, 2023

Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. Anaesthesia: Vol 77, No S1.

Resuscitation 52

Resuscitation Shock Operations Hospitals 52

AED Leader

JUNE 11, 2024

When faced with a life-threatening situation, every second counts, and having a defibrillator that is easy to operate can make a significant difference. Philips defibrillators come with clear visual and audio prompts that guide users through each step of the resuscitation process.

CPR 52

CPR Shock Resuscitation Operations 52

PHEM Cast

DECEMBER 12, 2016

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. Resuscitation; 2011: 1194-1197

Military 52

Military Resuscitation Emergency Department Documentation/Coding 52

Intensive Blog

AUGUST 21, 2024

Outline the initial assessment of severe burns injury, including how you will calculate fluid resuscitation requirements. Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? (50%) Oxygen saturation targets in critical care Q2.

Burns 52

Burns Hyperthermia / Hypothermia Fluid Resuscitation Operations 52

ACEP Now

JUNE 21, 2023

Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. 15 Some of these training opportunities previously considered unique (i.e.,

EMS 114

EMS Academics Telemedicine Operations 114

AED Leader

APRIL 22, 2024

They are user-friendly and can be operated by individuals with minimal medical training. This feature helps rescuers optimize their CPR technique and improve the chances of a successful resuscitation. Lifepak AED defibrillators are designed to be user-friendly and can be operated by individuals with minimal medical training.

CPR 52

CPR Shock Resuscitation Operations 52

EMergucate

JANUARY 21, 2017

Despite resuscitation teams operating in extremely high stress environments and such stress being known to substantially impair optimal performance, historically … Continue reading →

Resuscitation 40

Resuscitation Operations 40

Greater Sydney Area HEMS

FEBRUARY 20, 2024

This would therefore remove some of the limitations (perceived or real) around time delays associated with using ultrasound for central access as there would be no need for probe covers and positioning of the portable ultrasound (which often needs the help of a second operator, a significant limitation in a small prehospital medical team).

Ultrasounds 98

Ultrasounds Shock Research Operations 98

AED Leader

JULY 3, 2024

This durability is essential, particularly for businesses operating in demanding or outdoor environments. Real-Time CPR Feedback Performing cardiopulmonary resuscitation (CPR) correctly is crucial for the success of a resuscitation attempt.

CPR 52

CPR Resuscitation Pediatrics Operations 52

RebelEM

AUGUST 7, 2023

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

Head Injuries 98

Head Injuries Airway Management Outcomes Burns 98

The Trauma Pro

AUGUST 18, 2023

Presentation at your transfusion committee is fine, but this data is most suitable for presentation at the trauma operations committee. Ideally, the information from every MTP activation gets passed on to the trauma program. And if significant variances are present (e.g.

Administration 100

Administration Operations Hospitals Wellness 100

RebelEM

JANUARY 25, 2023

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

RebelEM

DECEMBER 19, 2022

While many healthcare systems across the world operate in a similar fashion, the United States does not. With everything just mentioned considered, DED, in addition to other resuscitative therapies, should still be used for patients in RVF. REFERENCES: Cheskes S, et al.

EMS 52

EMS CPR Shock Resuscitation 52

AED Leader

MAY 8, 2024

The device features clear and concise visual and audio prompts that guide the user through each step of the resuscitation process. Its user-friendly design, the DBP 2003, ensures that responders can operate the device confidently and efficiently, even under stressful circumstances.

Shock 52

Shock CPR Operations Resuscitation 52

AED Leader

DECEMBER 2, 2024

Furthermore, regular maintenance and training in cardiopulmonary resuscitation (CPR) techniques significantly enhance the potential effectiveness of AEDs in emergencies. The American Heart Association and European Resuscitation Council emphasize the importance of early defibrillation. Verify that the device is set to do this regularly.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Initial Management and Resuscitation of Severe Chest Trauma. Emergency Medicine Journal , 22 (11), 788–789. link] Fitzgerald, M.,

Academics 52

Academics Radiology Radiology Resuscitation 52

RebelEM

MARCH 27, 2023

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

Emergency Medicine Cases

JANUARY 4, 2022

What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room? How can we best pick up occult cardiogenic shock before it floured shock kicks in? Which patients with acute heart are safe to send home in general?

Shock 52

Shock Operations Ultrasounds Resuscitation 52

AED Leader

JULY 1, 2024

Its user-friendly design ensures trained professionals and laypersons can confidently operate it during an emergency. The clear and intuitive interface provides step-by-step instructions, guiding users through the resuscitation process.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. After resuscitation and defibrillation , there were no more episodes of TdP. There is slight ST depression in leads V4-V5 that could be ischemic in nature. There are no clear signs of OMI. The patient was admitted and put telemetry.

EKG/ECG 67

EKG/ECG Resuscitation Academics Operations 67

AED Leader

JULY 10, 2024

Its user-friendly interface and intuitive design make operating easy, even for individuals with little medical training. CPR Feedback and Guidance Performing adequate cardiopulmonary resuscitation (CPR) is crucial in increasing the chances of survival for a person experiencing SCA.

CPR 52

CPR Shock Operations Resuscitation 52

AED Leader

JUNE 17, 2024

In a high-stress situation, having an AED that can be easily operated by anyone without medical training is crucial. They incorporate advanced technology, such as biphasic waveform and real-time CPR feedback, to provide effective and efficient resuscitation. Q: Do I need medical training to use a LifePak AED?

CPR 52

CPR Pediatrics Shock Operations 52

EM SIM Cases

SEPTEMBER 19, 2024

Intubation for clinical course and pain management need to be addressed with disposition to the operating room. Treatment includes tourniquet application to the limb and rapid blood product administration. Boating Trauma Download [link] ECG Source = [link]

Shock 52

Shock Emergency Nursing Operations Administration 52

American Medical Compliance

FEBRUARY 15, 2023

When you look for such courses, look for topics such as first aid, personal care, and resuscitation techniques. Such facilities may be fined for having problems but they remain to operate without paying penalties. This training is for nurses and those who have an administrative background whose goal is to become administrators.

Administration 52

Administration Infectious Diseases Operations Best Practices 52

American Medical Compliance

FEBRUARY 15, 2023

When you look for such courses, look for topics such as first aid, personal care, and resuscitation techniques. Such facilities may be fined for having problems but they remain to operate without paying penalties. This training is for nurses and those who have an administrative background whose goal is to become administrators.

EMS 52

EMS Administration Infectious Diseases Operations 52