Operations Shock Wellness 
EMDocs
JANUARY 11, 2025
Well keep it short, while you keep that EM brain sharp. 2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. 2-4 Any patient with evidence of complications or septic shock may need surgical management or a higher level of care.
The Trauma Pro
APRIL 26, 2024
A multi-center trial published in 2015 showed an astounding 32% mortality rate for patients with shock from pelvic fracture. Unfortunately, it’s generally not feasible to operatively fix the pelvis acutely, and external fixation has limited impact on ongoing hemorrhage.
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Greater Sydney Area HEMS
FEBRUARY 20, 2024
Obtaining access in shocked trauma patients can be notoriously difficult due to circulatory collapse. Those who are shocked, shut down with limited or no other options for peripheral access require central access. The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i].
ACEP Now
JULY 7, 2023
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. 6 What Can I Do Outside of Repeated Shocks and Standard ACLS? amiodarone or lidocaine).
Don't Forget the Bubbles
JUNE 26, 2023
But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. Whilst waiting for an operation, they need to be managed medically. Usually, though, they will proceed to surgery. This is the most nuanced aspect.
Taming the SRU
JULY 24, 2024
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.
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.)
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