Don't Forget the Bubbles

JUNE 30, 2023

You will be running the show today, and you want to use your preparation time well. In addition, a flimsy cannula is easily dislodged during ongoing resuscitation and easily clots off. All you know, back in ED, is that the ETA is 10 minutes, and there is a single stab wound to the chest. The trauma call goes out.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

The Trauma Pro

JULY 10, 2023

This stream of information continues after the patient leaves the trauma bay for CT, imaging, interventional radiology, operating room, ICU, or floor bed. Once this occurs, the entire record is suspect and will not represent the true flow of the resuscitation. All of these occur during a relatively brief period of time.

Resuscitation 100

Resuscitation Radiology Radiology Operations 100

PulmCCM

NOVEMBER 6, 2023

Intuitively, plasma seemed even less likely to help the very sickest of the sick— those mechanically ventilated with ARDS from Covid-19, whose mortality rate was well over 50% at many centers. The intervention is called resuscitative endovascular balloon occlusion of the aorta (REBOA). Only it turns out, it did help.

Blood Transfusions 98

Blood Transfusions Operations Infectious Diseases Resuscitation 98

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. Too much pulmonary blood flow and we will see well-oxygenated blood ( SpO2 >85% ) but insufficient systemic blood flow (pallor/mottling, cool peripheries, delayed capillary refill time, weak pulses, hypotension, narrow pulse pressure) and hypoxia (lactic acidosis).

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

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

EMDocs

NOVEMBER 1, 2023

ECG – May show tachycardia or rate related ST depressions Laboratory evaluation: CBC w/ differential – may reveal leukocytosis with left shift CMP, Lipase – can reveal alternative intra-abdominal diagnoses as well as show findings of end-organ hypoperfusion (elevated serum creatinine, transaminitis, etc.)

Operations 86

Operations Radiology Radiology Fluid Resuscitation 86

Don't Forget the Bubbles

MAY 10, 2023

Resuscitation is a team sport. Role stickers or role aprons with names on them are simple measures to highlight resuscitation roles. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. It was the most phenomenal resuscitation.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Operations 91

Taming the SRU

MAY 11, 2024

Be careful with fluid resuscitation in renal transplant patients who can be at risk for volume overload. Validity Evidence for a Team-Leading Assessment Tool in Pediatric Emergency Resuscitation Using Video Review (Hartwell et al.) Assessed and provided feedback of pediatric resuscitations based on video review.

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

RebelEM

JUNE 19, 2023

Demographics were well balanced in the two groups. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures). Randomization and blinding were appropriately conducted.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. Its use in the prehospital environment is not well known or studied and may be an interesting area for future research. [i] i] Leibowitz A, Oren-Grinberg A, Matyal R. Anesthesiology 2018; 128 : 38–43. [v] Green et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

Pediatric Emergency Playbook

MARCH 1, 2016

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

PulmCCM

FEBRUARY 28, 2022

Further, the treating clinician must have deemed either normal saline or balanced crystalloid as appropriate resuscitation options; the patient’s expected-admission to the ICU must have been at least 3 days. saline crystalloid resuscitation, the inter-trial evaluations become murkier, though seemingly less tendentious.

Fluid Resuscitation 40

Fluid Resuscitation Resuscitation Outcomes Sepsis 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more. Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. Resuscitative thoracotomy is for penetrating trauma with signs of life wthin 10-15 minutes of arrival. Pediatrics.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

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. product ratios are way off) then it should also be discussed at your multidisciplinary trauma PI committee as well. And if significant variances are present (e.g.

Administration 100

Administration Operations Hospitals Wellness 100

AED Leader

JULY 3, 2024

When it comes to ensuring the safety and well-being of your business and its employees, having a reliable automated external defibrillator (AED) is essential. This durability is essential, particularly for businesses operating in demanding or outdoor environments.

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 96

Head Injuries Airway Management Outcomes Burns 96

AED Leader

DECEMBER 3, 2024

With the help of Stryker’s extensive network and resources, first responders can manage their resuscitation strategies effectively. Regular training empowers first responders with the skills needed for efficient resuscitation strategies. Ease of use : Compact design for simplified operation in emergencies.

Resuscitation 52

Resuscitation Shock CPR Operations 52

AED Leader

APRIL 29, 2024

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. These devices provide clear and concise voice prompts and visual instructions to guide the user through resuscitation. The device should have clear voice prompts, visual instructions, and intuitive operation.

Shock 52

Shock Resuscitation Pediatrics CPR 52

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship. Guest Skeptic: Dr. Rory Spiegel is a clinical instructor at University of Maryland and a recent graduate of Stony Brook’s Resuscitation Fellowship.

Emergency Department 52

Emergency Department Resuscitation Operations EMS 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

APRIL 30, 2024

As a responsible parent or guardian, the safety and well-being of your child are of utmost importance. Here are some key features that make the Heartsine 350P AED an excellent choice for schools: Simple and Intuitive Operation The Heartsine 350P AED is designed with simplicity in mind.

CPR 52

CPR Operations Shock Resuscitation 52

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

Mind The Bleep

OCTOBER 17, 2024

Scottish Mountain Rescue (SMR) is an umbrella organisation, with teams the final decider of how they operate. RRMT providers can provide resuscitation including bag valve masks and simple airways, complete an A-to-E assessment in medical and trauma scenarios, and provide some life-saving interventions (like chest seals and tourniquets).

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 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

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Resuscitation 2013; 84(11): 1500 – 4. References: Heffner AC et al. PMID: 23911630 Kim WY et al.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

EM SIM Cases

SEPTEMBER 19, 2024

WHY IT MATTERS Patients in hemorrhagic shock require blood products expeditiously as well as identification and definitive management of the source of bleeding. Intubation for clinical course and pain management need to be addressed with disposition to the operating room. Boating Trauma Download [link] ECG Source = [link]

Shock 52

Shock Emergency Nursing Operations Administration 52

AED Leader

JULY 10, 2024

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. Its user-friendly interface and intuitive design make operating easy, even for individuals with little medical training. Here are some key advantages of owning a Heartsine Samaritan Pad 350P: 1.

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. By choosing a reputable brand like LifePak, businesses can have peace of mind knowing they are meeting legal requirements and taking proactive steps to protect their employees’ well-being.

CPR 52

CPR Pediatrics Shock Operations 52

AED Leader

JUNE 2, 2024

The device is designed to be intuitive and easy to operate, even for individuals with no prior medical training. Clear visual and audio prompts guide the user through each step of the resuscitation process, ensuring that anyone can confidently use the AED in an emergency.

CPR 52

CPR Shock Pediatrics Operations 52

Advanced Emergency Nursing from AENJ

APRIL 8, 2014

It is a curious paradox of history that Nerve Gas was the product of agricultural research by the burgeoning chemical industry in Germany in the latter 19 th and early 20 th centuries, and that modern understanding of resuscitation came from WWII military investigations (Edgar A. Let's look at the early expired air resuscitation adjuncts!

Resuscitation 40

Resuscitation Ambulance Services Research Military 40

American Medical Compliance

FEBRUARY 15, 2023

No fines or fees are implemented as well. When you look for such courses, look for topics such as first aid, personal care, and resuscitation techniques. Hence, it is necessary to plan the core training well and the testing schedule accordingly. The state testing schedule is limited.

Administration 52

Administration Infectious Diseases Operations Best Practices 52

American Medical Compliance

FEBRUARY 15, 2023

No fines or fees are implemented as well. When you look for such courses, look for topics such as first aid, personal care, and resuscitation techniques. Hence, it is necessary to plan the core training well and the testing schedule accordingly. The state testing schedule is limited.

EMS 52

EMS Administration Infectious Diseases Operations 52

PHEM Cast

SEPTEMBER 6, 2017

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6

CPR 52

CPR Resuscitation Operations Shock 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

RebelEM

JUNE 8, 2023

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52