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).

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

AED Leader

MAY 8, 2024

It features an advanced biphasic waveform, which delivers a highly effective shock to the patient’s heart. Its user-friendly design, the DBP 2003, ensures that responders can operate the device confidently and efficiently, even under stressful circumstances. How long does the battery of the Defibtech DBP 2003 last?

Shock 52

Shock CPR Operations Resuscitation 52

Sensible Medicine

JUNE 17, 2024

PFA destroys myocardium with electricity (shocks). Every “application” is actually a shock. Europeans do PFA ablation in well under an hour. PFA is especially concerning because the shocks in the left atrium create intense microbubbles. Sensible Medicine is a reader-supported publication.

Shock 123

Shock Stroke Operations Ultrasounds 123

American Medical Compliance

OCTOBER 25, 2024

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. What’s more, they improve operational efficiency and enhance patient trust. This staggering figure highlights the importance of staying vigilant.

Documentation/Coding 88

Documentation/Coding Operations Best Practices Shock 88

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. It features a pediatric mode, enabling safe treatment for children as well.

Pediatrics 52

Pediatrics Shock Operations Wellness 52

AED Leader

SEPTEMBER 28, 2024

Key takeaways AEDs, like the Philips HeartStart OnSite and ZOLL AED Plus, help save lives during sudden cardiac arrest by checking the heart’s rhythm and delivering a shock if needed. When buying an AED, consider where it will be used, how easy it is to operate, and maintenance costs. They are easy for anyone to use.

CPR 52

CPR Shock Pediatrics Operations 52

AED Leader

JULY 10, 2024

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. AEDs are portable devices that can be used to deliver an electric shock to the heart in the event of sudden cardiac arrest (SCA), potentially saving a person’s life.

CPR 52

CPR Shock Operations Resuscitation 52

AED Leader

APRIL 29, 2024

In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. AEDs are portable devices that can be used to deliver an electric shock to the heart in case of sudden cardiac arrest (SCA), a condition that can strike anyone, anywhere, at any time.

Shock 52

Shock Resuscitation Pediatrics CPR 52

AED Leader

SEPTEMBER 22, 2024

They check the heart’s rhythm and send a shock to help it beat right again. It checks the heart’s rhythm and sends a shock if needed to get it beating right again. If it hears a jumbled rhythm that could mean trouble, it’s ready to send a shock. Portable AEDs come in different sizes. The neat part?

CPR 52

CPR Shock Operations Hospitals 52

AED Leader

JUNE 25, 2024

Philips is a well-known and trusted brand in the AED market, providing reliable and user-friendly devices. Train Staff in AED Operation and Maintenance Proper training is essential for effectively using and maintaining your Philips AED. Expired pads or batteries may not deliver the shocks or power required in a life-saving situation.

Operations 52

Operations Best Practices Documentation/Coding Shock 52

AED Leader

JULY 2, 2024

They are designed to rapidly deliver a high energy level, allowing the AED to administer a life-saving shock to the heart. An AED with a weak or expired battery may not deliver the required shock to restore the heart’s normal rhythm effectively. When a cardiac emergency occurs, every second counts.

Shock 52

Shock Operations Outcomes Wellness 52

AED Leader

MAY 28, 2024

These life-saving devices are designed to deliver an electric shock to the heart, restoring its normal rhythm and potentially saving a person’s life. An AED defibrillator portable machine is a compact and user-friendly device that delivers an electric shock to a person’s heart during sudden cardiac arrest.

Shock 52

Shock Operations Wellness 52

AED Leader

APRIL 30, 2024

As a responsible parent or guardian, the safety and well-being of your child are of utmost importance. AEDs are designed to deliver a life-saving shock to the heart, restoring its normal rhythm and allowing vital organs to receive the needed oxygen.

CPR 52

CPR Operations Shock Resuscitation 52

AED Leader

JULY 9, 2024

As a place of worship, ensuring the safety and well-being of your congregation is of utmost importance. Immediate access to an AED is critical for potentially life-saving shocks and restoring the heart’s normal rhythm. Remember, investing in an AED is an investment in the safety and well-being of your congregation.

CPR 52

CPR Shock Wellness Operations 52

AED Leader

JUNE 2, 2024

With innovative technology and intelligent algorithms, this AED delivers high-quality, accurate shocks to restore normal heart rhythm. The device is designed to be intuitive and easy to operate, even for individuals with no prior medical training. Fast and Reliable During a cardiac emergency, every second counts.

CPR 52

CPR Shock Pediatrics Operations 52

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 67

Operations Radiology Radiology Fluid Resuscitation 67

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.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

AED Leader

JUNE 17, 2024

These devices are designed to analyze the heart rhythm and deliver a potentially life-saving electric shock called defibrillation to restore the heart’s normal rhythm. In a high-stress situation, having an AED that can be easily operated by anyone without medical training is crucial.

CPR 52

CPR Pediatrics Shock Operations 52

AED Leader

JULY 9, 2024

When it comes to ensuring the safety and well-being of individuals in emergencies, having a reliable and efficient AED (Automated External Defibrillator) is essential. The Defibtech DBP 2003 AED Battery delivers on this front, providing ample power to operate the AED during critical moments effectively.

Operations 52

Operations Shock Wellness 52

RebelEM

AUGUST 12, 2024

Thus further adding to the well known safety of amino acid infusions The lack of a diversified patient population in combination with having used only one type of amino acid formulary greatly limits this study’s generalizability.

Outcomes 81

Outcomes Hospitals Operations Shock 81

Don't Forget the Bubbles

OCTOBER 10, 2024

The others, such as respiratory rate, heart rate, and decompensated shock, were excluded due to the presumed difficulty for non-healthcare professionals to assess them accurately. Ten thousand children in the UK are operated on a year for fingertip injuries, and 96% of surgeons currently report replacing the nail plate intra-operatively.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia. FIGURE 2: Traumatic amputation and electrical burn of the patient’s left arm.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Pediatric EM Morsels

NOVEMBER 3, 2023

Both have a range of detection limits, which can be greatly dependent on operator. With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Third times the charm!

Seizures 278

Seizures Pediatrics CDC Infectious Diseases 278

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

Greater Sydney Area HEMS

APRIL 26, 2023

Both the stuff of legend and go by multiple names including harness hang syndrome and orthostatic intolerance, as well as bigfoot and the abominable snowman, respectively. See I told you this sounded a lot like crush injury… Let me put it another way: ST is a state of shock that can be rapidly induced by passive hanging. That’s it?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe.

Resuscitation 105

Resuscitation Administration Emergency Department Hospitals 105

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 94

Sepsis Documentation/Coding Administration Fractures 94

RebelEM

JUNE 8, 2023

Nontraumatic hypotension and shock in the emergency department and the prehospital setting, prevalence, etiology, and mortality: a systematic review. Emergency department hypotension predicts sudden unexpected in-hospital mortality: a prospective cohort study. 2006;130(4):941–6. PMID: 17035422 Holler JG, et al. 2015;10(3):e0119331.

Administration 98

Administration Emergency Department Outcomes Documentation/Coding 98

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. We now have a patient who is in sustained SVT but with no features of shock. Family history. What if this does not work?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Don't Forget the Bubbles

JUNE 30, 2023

Ranulf went white with the shock. You will be running the show today, and you want to use your preparation time well. These procedures require an experienced operator. These procedures require an experienced operator. These procedures require an experienced operator. The trauma call goes out. You are not sure.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

ACEP Now

SEPTEMBER 13, 2023

We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

EMS 45

EMS Research Academics Military 45

Dr. Smith's ECG Blog

DECEMBER 10, 2022

While I could not rule out the possibility of a large acute ongoing infarction — I thought it more likely that there was some unusual process operative, including RVH and/or some type of cardiomyopathy. My Impression: After seeing ECG #1 — I was not at all sure what was going on with this patient.

EKG/ECG 52

EKG/ECG Operations Shock EMS 52

RebelEM

MARCH 27, 2023

4 Using factors such as shock, pneumonia, and sepsis this score allows an accurate prediction of developing ARDS. There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Prior studies have used annual census or shift level crowding.

Emergency Department 52

Emergency Department Operations Academics Documentation/Coding 52

RebelEM

JANUARY 25, 2024

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. CHF, in particular, lends itself well to diagnosis and treatment with PoCUS, as it readily reveals the presence of B lines. vs. 18.3%).

Ultrasounds 130

Ultrasounds Outcomes COPD Hospitals 130

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

Don't Forget the Bubbles

MAY 10, 2023

A shocked friend is being ushered out of the way. Then the patient is rapidly moved to the operating theatre. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. A teenager lies on the resus trolley. They’re getting CPR. Your eyes are drawn to their chest.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

EB Medicine

MARCH 1, 2019

Nachi: This month’s team parsed through roughly 1200 articles as well as guidelines from the eastern association for surgery in trauma also known as EAST. Consider valvular injury in any patient who appears to be in cardiogenic shock, has hypotension without obvious hemorrhage, or has pulmonary edema. Nachi: Definitely. Jeff: Exactly.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40