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The ‘Hidden C’

Don't Forget the Bubbles

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.

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The CLOVERS Trial

Taming the SRU

The CLASSIC trial is a randomized controlled trial conducted in the ICU setting which compared restrictive versus standard fluid strategies with a primary outcome of death by 90 days in patients with septic shock. for patients with ESRD in the restrictive group (95% CI; -41.9 versus 59.2%). versus 14.9%

Sepsis 52
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Foreign Bodies in the Ear, Nose and Throat

Mind The Bleep

Management Steps Step 1 – Mother/Father’s kiss Instructions: Place your mouth over the child’s open mouth, creating a secure seal as you would during mouth-to-mouth resuscitation. Always prioritise patient safety; if in doubt, don’t hesitate to seek help from the on-call ENT team. References www.bsg.org.uk/wp-content/uploads/2020/11/flgastro-2020-101450.full_.pdf

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The 84th Bubble Wrap

Don't Forget the Bubbles

In the emergency department resuscitation room, weight is usually estimated using an age-based formula until the child is stabilised and can be safely weighed. Obesity is considered a contributing factor for some musculoskeletal outcomes. Therefore, it is important that the method used gives the most accurate weight estimate.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23).

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

But bear in mind that ultrasound will undoubtedly be more difficult if the patient has a large body habitus, so don’t be disappointed if you’re not getting the best views. with generally good clinical outcomes including improved quality of life and reducing or staving off comorbidities. Obesity (Silver Spring). 2013;21 Suppl 1:S1-S27.