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The Third Law Of Trauma

The Trauma Pro

They occasionally crash when we think everything is going so well. Neither can playing around in the resuscitation room, unless the bleeding is spraying you in the face. And the only place with the proper tools to do that is an operating room. But sometimes it’s for the worse. But then there’s the hypotensive patient.

Radiology 201
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ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. 5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline.

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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days.

EMS 94
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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

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.

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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

1 Ventricular tachycardia (VT) and ventricular fibrillation (VF) represent the most common initial rhythms for patients presenting to the ED in out-of-hospital cardiac arrest, as well as for patients who develop cardiac arrest while in the ED. Resuscitation. Resuscitation. Resuscitation. 2022;175:105-112. Sakai T, et al.

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Sniffing out Sepsis - Vibes vs Scoring Systems?

Taming the SRU

Ann Emerg Med 2024 Background Sepsis remains an increasingly common emergency department condition that is tied to higher morbidity and mortality across the United States as well as the rest of the world. They also developed a machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO) using 80% of the available data.

Sepsis 89
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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Czech Military resuscitation kit, 1969, mfr.