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Taking care of a critically ill child can be nerve-racking to say the least, and downright petrifying for those who don’t do it frequently, even if they are well-trained and brilliant clinicians. Good correlation to bed scale weight in trauma patients (Pearson coefficient 0.86), but there was some error in the highest weight category.
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.
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.
RESULTS A total of 1,563 patients were enrolled with 782 assigned to the restrictive and 781 assigned to the liberal fluid groups. There were similar baseline characteristics and the groups were well-matched.
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). Case Resolution: The patient was placed on NIPPV. Resuscitation 2013; 84(11): 1500 – 4. References: Heffner AC et al.
Another study found a 1-year post Roux-en-y ED visit rate of 31% and yet another found that 25% of these patients will require admission within 2 years of surgery. Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in.
The goal of MMI-LFL is to improve patientsafety, educate physicians and reduce the cost and stress of medical malpractice lawsuits. Paramedics are unable to resuscitate her, and she dies 6 1/2 hours after arrival in the ED. To opt in to the free subscriber list, click here. Stories of med mal lawsuits can save lives.
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