article thumbnail

Organophosphate Poisoning

EM SIM Cases

He looks so unwell that he is placed into the resuscitation bay. The team leader must identify the toxidrome and direct the team to early PPE use and patient decontamination. Clinical Vignette A 60-year old farmer presents to the ED with a runny nose, vomiting and diarrhea. He feels short of breath and dizzy.

article thumbnail

Episode 36: COVID-19

PHEM Cast

PPE As at May 1st, the advice from PHE is ‘ There is currently sustained transmission of COVID-19 throughout the UK as defined by the four nations Public Health experts, therefore there is an increased likelihood of any patient having coronavirus infection. Here is a review of both if you’d like to read more.

PPE 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Grand Rounds Recap 1.31.24

Taming the SRU

Ferreri Bedside US can allow for rapid diagnosis as well as narrowing of a broad differential Bedside ultrasound, specifically in the peri-arrest period, can alter direction of resuscitation acutely Bedside ultrasound provides actionable data for your consultants to act upon Consider US as an extension of your physical exam Landmark Studies of EM For (..)

article thumbnail

SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surgery March 2019.

article thumbnail

ToxCard: Acute Organophosphate Toxicity

EMDocs

Decontamination and Appropriate Personal Protective Equipment (PPE) This prevents ongoing exposure to the patient and ED staff. Dispose of clothing appropriately and wear PPE to prevent personal exposure. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated.

article thumbnail

2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Use of 20% intravenous lipid emulsion can be efficacious in the resuscitation of life-threatening local anesthetic toxicity, especially from bupivacaine. Administration of digoxin-specific immune antibody fragments can reverse life-threatening dysrhythmias from digoxin poisoning. COR 1, LOE C-LD. COR 1, LOE C-EO. COR No Benefit, LOE C-LD.

article thumbnail

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

Emergency Medicine Cases

The single most important thing we can do as ED providers in this COVID pandemic is to protect ourselves, our colleagues, our patients, our families and our friends against transmission of the virus; and there is no higher risk of transmission that during the resuscitation of a sick COVID patient.

PPE 52