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The Broselow-Luten System

Pediatric EM Morsels

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. This system has now become the “ industry standard.”

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SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

The Skeptics' Guide to EM

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Case: A 24-year-old patient is involved in a high-speed motor vehicle collision. Reference: Jansen et al.

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Medical Malpractice Insights: Speaking in “Code”

EMDocs

The goal of MMI-LFL is to improve patient safety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. But few of us are comfortable discussing the subject with patients and their families. “Code,” “No Code,” “CPR,” “resuscitation,” etc.

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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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Workplace Violence and Mental Health in Emergency Medicine

ACEP Now

Those of us who were on shift at the time of the suicide attempted to resuscitate our colleague while still treating many other sick patients simultaneously. A tornado of organized chaos managed to transport him to the resuscitation bay as the tasks of life-saving maneuvers began.

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The CLOVERS Trial

Taming the SRU

Specific patient populations were excluded, of note, such as the septic, already-volume-overloaded or severely hypovolemic patient – these will require careful, separate consideration in the tailored, specialized treatment of septic shock. Crit Care Med 42 (11): 2315-2324. Andrews, B., Muchemwa, P. Heimburger, C. Bwalya and G.

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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.