The Trauma Pro

MARCH 21, 2024

This can obviously be helpful if you are updating or building new resuscitation rooms. Pediatric cart. Have your contractor mock up a space exactly the size of your new resuscitation room. In the last two posts, I discussed the size of your trauma bay and how to measure it. But what about all the stuff that goes into it?

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Resuscitation Pediatrics 200

EM Ottawa

DECEMBER 28, 2023

Pediatric trauma is a high acuity but low frequency event (2). There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog.

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Pediatrics Documentation/Coding EMS Wellness 83

University of Maryland Department of Emergency Med

OCTOBER 13, 2023

This excellent review article discussing damage control resuscitation in traumatically injured children highlights several points including: Click to view the rest

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Resuscitation Pediatrics 56

Emergency Medicine Cases

JANUARY 15, 2019

They include toxicology, trauma, ophthalmology, orthopaedics, resuscitation, human factors, addiction and pediatric emergencies. The post EM Quick Hits 1 Massive PE, Gabapentin for Alcohol Withdrawal, Dental Avulsions, Pediatric Eye Exam, Best Resuscitation Fluid appeared first on Emergency Medicine Cases.

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Resuscitation Pediatrics EMS Wellness 52

Pediatric EM Morsels

JUNE 9, 2023

Of course, we all have a healthy respect for post-tonsillectomy hemorrhage and we like to talk about Damage Control Resuscitation. Acute Esophageal Variceal Bleeding: Basics Pediatric liver disease may be due to numerous causes. Pediatric patients with cirrhosis and acute Upper GI Bleeds are at risk of developing bacterial infections.

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Pediatrics Head Injuries Airway Management Administration 154

Broome Docs

NOVEMBER 17, 2024

Resuscitation. Antibiotic prophylaxis in pediatric dog bite injuries: Infection rates and prescribing practices. Resuscitation. Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. 2024.110266.

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Administration Resuscitation Radiology Radiology 61

St. Emlyn

FEBRUARY 11, 2025

We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. St.Emlyn's - Emergency Medicine #FOAMed This months St Emlyns podcast wraps up Season 11 with a review of key emergency medicine topics.

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Airway Management Poisoning Pediatrics Resuscitation 75

Resus Review

APRIL 23, 2015

There is also a tremendous cognitive load during pediatric resuscitations determining the appropriate sized equipment and medication dosing, increasing the pressure. There are numerous critical differences in managing the pediatric airway. Use a pediatric bronchoscope. There are physiologic differences.

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Pediatrics Airway Management Resuscitation Emergency Department 52

Life in the Fast Lane

JUNE 11, 2023

Neil Long and Chris Nickson AMAX4 Algorithm AMAX4 is a best-practice algorithm for critical care clinicians in anaphylaxis and asthma resuscitation.

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Anaphylaxis Best Practices Resuscitation Pediatrics 145

EB Medicine

OCTOBER 2, 2022

In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department. Episode Outline: How common are pediatric firearm injuries? Can they stay in? Can they stay in?

Pediatrics 52

Pediatrics Emergency Department Resuscitation Hospitals 52

Emergency Medicine Cases

MAY 21, 2019

Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care.

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Airway Management Burns Resuscitation Fluid Resuscitation 52

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. Necrotizing Enterocolitis: A Practitioner’s Perspective. 1988; 9(7):219-226. Radiographics. 2006; 26:1485-1500.

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Pediatrics Ultrasounds Resuscitation Sepsis 52

EM SIM Cases

MAY 9, 2023

When it comes to pediatric drowning, prevention is the best medicine. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. Pediatric Drowning Download Hon, K. , Pediatric Emergency Care,32 (9), 623-626. Unfortunately, the child becomes bradycardic. PICU should be called if not already involved.

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Pediatrics CPR Radiology Radiology 52

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

EMDocs

APRIL 20, 2024

. #3: STOP RCT – Duration of Antibiotics for Pediatric Febrile UTI Spoon Feed The Short-Course Oral Antibiotic Therapy of Acute Pyelonephritis (STOP trial) demonstrated that a 5-day course of amoxicillin-clavulanate was noninferior to the standard 10-day course with regard to recurrence of infection. Pediatrics. doi: 10.1542/peds.2023-062598.

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Infectious Diseases Pediatrics Resuscitation Hospitals 97

Emergency Medicine Cases

OCTOBER 13, 2020

The post Neonatal Resuscitation NRP Rapid Reviews Video appeared first on Emergency Medicine Cases. Nick Clarridge runs through the NRP algorithm and delivers the nuggets of wisdom on how best to prepare for the sick neonate, best monitoring practices and ventilation strategies of the neonate.

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Resuscitation Pediatrics EMS 52

Emergency Medicine Cases

MAY 9, 2017

Management of the pediatric trauma patient is challenging regardless of where you work. How do you clear the pediatric c-spine? Are atropine and fentanyl recommended as pre-induction agents in the pediatric trauma patient? Is tranexamic acid recommended in early pediatric trauma like it is in adults? and many more.

Pediatrics 52

Pediatrics EMS Hospitals Head Injuries 52

Emergency Medicine Cases

JUNE 15, 2020

Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General.

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Sexual Assault Resuscitation EMS Hospitals 52

Taming the SRU

NOVEMBER 21, 2023

airway grand rounds - r1 clinical knowledge: heavy metals - consultant corner: acute leukemia - pediatric sim - pediatric cases airway grand rounds WITH dr. carleton Difficult airway algorithm: when should we RSI? Abdominal pain, nausea, vomiting, and dehydration are common. given 60 (half KPhos and KCl) K < 2.5:

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Pediatrics EKG/ECG Resuscitation Dehydration 91

Emergency Medicine Cases

AUGUST 13, 2019

Eric Russell, Assistant Professor of Pediatrics at the Baylor College of Medicine, Pediatric Emergency Medicine attending physician at the Texas Children's Hospital, and editor at the Human Diagnosis Project. They discuss a challenging case of a pediatric patient who presents with what at first appears to be bronchiolitis.

Pediatrics 52

Pediatrics EMS Hospitals Resuscitation 52

EMDocs

OCTOBER 28, 2023

Spoon Feed Don’t hang your hat on lactate clearance to assess therapeutic response to resuscitation in sepsis; there are too many confounders, and initial clearance does not necessarily project clinical course. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: 1: How Useful Is Lactate Clearance Anyway? Circulation.

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Emergency Department Pediatrics Sepsis Resuscitation 92

Emergency Medicine Cases

MAY 18, 2020

Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips.

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Resuscitation Fluid Resuscitation Airway Management CPR 52

Don't Forget the Bubbles

NOVEMBER 27, 2023

Four-year-old Ed is being resuscitated for presumed Invasive Group A Streptococcal Sepsis from tonsilitis. Obviously, one also needs to address the cause of the shock, or any efforts in resuscitation will only bring a temporary improvement. Pediatr Crit Care Med. Pediatr Crit Care Med. After 40ml/kg of IV 0.9%

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Shock Sepsis Fluid Resuscitation Resuscitation 143

RebelEM

JUNE 7, 2023

General resuscitation with broad spectrum antibiotics and volume resuscitation if the patient appears to be septic. Predictive value of visible lesions (cheeks, lips, oropharynx) in suspected caustic ingestion: may endoscopy reasonably be omitted in completely negative pediatric patients? Pediatr Emerg Care. N Engl J Med.

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Poisoning Burns Resuscitation Pediatrics 98

Emergency Medicine Cases

AUGUST 24, 2021

Just as pediatric patients are not small adults, geriatric patients are not just old adults. The post Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine appeared first on Emergency Medicine Cases. What is the utility of the Shock Index in older patients?

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Resuscitation Head Injuries Airway Management Shock 52

Don't Forget the Bubbles

JUNE 17, 2024

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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Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

SEPTEMBER 15, 2023

Direct Oral Anticoagulants in Pediatrics Spoon Feed Treatment with direct oral anticoagulants (DOACs) in pediatric patients appears to reduce venous thromboembolism (VTE) recurrence compared to standard of care, with no difference in major bleeding or serious adverse events. Resuscitation. Ann Emerg Med. 2023 Aug;82(2):219-221.

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Pediatrics Emergency Department Resuscitation EMS 83

EMDocs

JANUARY 13, 2024

sodium chloride) reduced acute kidney injury and improved other outcomes in these pediatric patients with septic shock. Source Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial. Crit Care Med. 2023 Nov 1;51(11):1449-1460.

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Stroke Shock Pediatrics Resuscitation 85

EMDocs

SEPTEMBER 14, 2024

Pediatrics. Resuscitation. . #3: Don’t Make A Rash Decision About Infant Vesicles or Pustules Spoon Feed In a cohort of afebrile infants with pustular or vesicular rashes, none were diagnosed with serious bacterial infection attributable to a skin source, though some were ultimately diagnosed with herpes simplex virus (HSV).

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Emergency Department Resuscitation Pediatrics EKG/ECG 95

Emergency Medicine Cases

OCTOBER 27, 2020

The post Neonatal Resuscitation Rapid Review Video Part 2 – Chest Compressions, Epinephrine, Algorithm Pearls and Pitfalls appeared first on Emergency Medicine Cases.

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Resuscitation CPR Pediatrics EMS 52

The Skeptics' Guide to EM

MAY 20, 2023

A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

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Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

Taming the SRU

APRIL 11, 2024

cm is normal Hazard ratio in patients with abnormal TAPSE in normotensive patients is high even though the patient is currently hemodynamically stable Acute vs chronic right heart strain Acute McConnell’s sign: apical hypokinesis with RV free wall hypokinesis Will be present in all causes of increased RV pressure including PE, pulmonary HTN, etc.

Ultrasounds 95

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 95

ACEP Now

NOVEMBER 7, 2024

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). Major resuscitation organizations worldwide meet in this forum to share knowledge and best practices.

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Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

Emergency Medicine Cases

MAY 10, 2022

The post EM Quick Hits 38 ACS in Older Patients, Rural Neonatal Resuscitation, Hemophilia, Hiccups, ECG Computer Interpretation appeared first on Emergency Medicine Cases.

Resuscitation 52

Resuscitation EMS EKG/ECG Pediatrics 52

RebelEM

SEPTEMBER 9, 2024

Neonatal resuscitation in the delivery room. Cardiopulmonary resuscitation. Fleisher & Ludwig’s Textbook of Pediatric Emergency Medicine. What percent of oxygen should you initially use while providing positive pressure ventilation to this patient? 100% 21% 30% 50% References Fernandes CJ. Post TW, ed. UpToDate Inc.

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Resuscitation Emergency Department Pediatrics EMS 58

Emergency Medicine Cases

APRIL 25, 2023

The post EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM appeared first on Emergency Medicine Cases.

EMS 52

EMS Pediatrics Ultrasounds Resuscitation 52

PEMBlog

AUGUST 20, 2024

This episode of PEM Currents discusses ECPR (Extracorporeal Cardiopulmonary Resuscitation), an advanced procedure used in cases of cardiac arrest when traditional CPR fails. ELSO guidelines for adult and pediatric extracorporeal membrane oxygenation circuits. Extracorporeal Cardiopulmonary Resuscitation. Resuscitation.

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CPR Resuscitation Pediatrics Hospitals 52