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.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

The Trauma Pro

APRIL 30, 2024

Until we have better research to learn from, I suggest the following: Time is of the essence. The resuscitation equipment is not on par with the OR, and one never knows exactly how long the procedure will last. Is packing “better” than embolization? The simple answer is that we don’t know yet.

Radiology 113

Radiology Radiology Research Fractures 113

EMDocs

NOVEMBER 20, 2023

High certainty of evidence: further research is unlikely to change the confidence in the estimate of the effect. Moderate certainty of evidence: further research is likely to have an important impact and may change the estimate. Low certainty of evidence: further research is very likely to change the estimate.

Resuscitation 103

Resuscitation Fluid Resuscitation Hospitals Research 103

EMDocs

SEPTEMBER 14, 2024

2: Human, Take this Patient to the Cath Lab – AI and STEMI Detection Spoon Feed These researchers developed and trained a deep ensemble artificial intelligence (AI) model to classify ECGs as STEMI versus non-STEMI. Resuscitation. Ann Emerg Med. 2024 Aug;84(2):226-227. DOI: 10.1016/j.annemergmed.2024.03.007. 2024.03.007. 2024.110286.

Emergency Department 95

Emergency Department Resuscitation Pediatrics EKG/ECG 95

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. However, the efficacy of naloxone in improving outcomes in such cardiac arrests remains a topic of ongoing research and debate. Case: You are working as a paramedic, and you respond to a cardiac arrest.

Hospitals 104

Hospitals CPR EMS Outcomes 104

The Skeptics' Guide to EM

FEBRUARY 11, 2024

She is received in the resuscitation room. 20] A retrospective observational study from Canadian researcher, Dr. Robert Ohle was published in CJEM in 2023. Case: A 66-year-old female with a history of smoking, hypertension, and type-2 diabetes presents to the emergency department (ED) with syncope while walking her dog. per 100,000. [4-8]

Emergency Department 132

Emergency Department Resuscitation Hospitals EKG/ECG 132

Emergency Medicine Journal

SEPTEMBER 27, 2023

However, research conducted by Keita Shibahashi’s group suggests otherwise.

Resuscitation 40

Resuscitation Hospitals CPR Research 40

Ultrasound Gel

JUNE 24, 2019

It is great to see more and more research on ultrasound in cardiac arrest. Here is a nice study that looks to see if ultrasound is associated with increased resuscitation efforts or better survival outcomes. link] It is great to see more and more research on ultrasound in cardiac arrest.

Outcomes 52

Outcomes Ultrasounds Resuscitation Research 52

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. Our results support early CPR for OHCA and highlight the need for further research to understand whether and how CPR modifies the cardiac rhythm after arrest.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

St. Emlyn

JUNE 4, 2024

Prioritising rapid resuscitation and OR transfer over ED intubation may improve outcomes. Further prospective research is needed The post JC: Risky intubations in the Emergency Department appeared first on St.Emlyn's.

Emergency Department 48

Emergency Department Resuscitation Research Outcomes 48

Taming the SRU

OCTOBER 5, 2023

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 92

Stroke EKG/ECG Seizures CPR 92

Greater Sydney Area HEMS

FEBRUARY 20, 2024

It is currently the subject of future research and publication in the emergency department setting. Its use in the prehospital environment is not well known or studied and may be an interesting area for future research. [i] Right Brachiocephalic Vein Origin Access for the Resuscitation of Shocked Adult Trauma Patients.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

ACEP Now

JUNE 21, 2023

The latest research Two new studies have investigated academic and clinical performance between the two EM training lengths. For example, four-year programs could offer formal research training or niche clinical experiences such as aeromedical or telemedicine, which a 3-year curriculum cannot not feasibly accommodate.

EMS 114

EMS Academics Telemedicine Operations 114

Mind The Bleep

DECEMBER 27, 2024

From my own experience, a vast array of medical care can be provided at events, from being able to suture at the scene, to commencing a full-blown resuscitation. From being a first aider to being an event doctor once youve been working for a while, this is a great opportunity to be involved in on-scene care and attend some really cool events!

Hospitals 52

Hospitals Ambulance Services Operations Teamwork 52

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. Researchers also looked at neurodevelopmental status three years after the operation. Stage 1 repair requires a shunt to establish pulmonary blood flow: either an mBT shunt or RV-PA conduit.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Don't Forget the Bubbles

NOVEMBER 15, 2023

In a PICU setting, sodium can come from various sources (resuscitation fluids, IV drugs and infusions, enteral feed), not just the maintenance fluids we prescribe. There is growing interest in giving no maintenance fluid and using the input from drug infusions and resuscitative boluses only. Most drugs are chosen to be dissolved in 0.9%

Resuscitation 80

Resuscitation Dehydration Administration Shock 80

The Skeptics' Guide to EM

NOVEMBER 12, 2022

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). Background: It’s interesting to see how fluid resuscitation has been debated over the years. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL).

Fluid Resuscitation 52

Fluid Resuscitation Resuscitation Emergency Department Shock 52

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine. They arrive quickly and take over the resuscitation. Our review supports the current best medical practice as recommended by the International Resuscitation Guidelines.”

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

JournalFeed

JUNE 10, 2023

Kids are Challenging Spoon Feed In this cross-sectional simulation study of seven EMS agencies in Oregon, researchers found that resuscitation quality was significantly lower in pediatric out of hospital cardiac arrests (OHCA) compared to adult OHCA as measured by defect free resuscitations.

Resuscitation 40

Resuscitation Pediatrics EMS Research 40

RebelEM

SEPTEMBER 19, 2022

Additionally, there is ongoing research into targeting improvements in the interventions we know work. Examples include mechanical CPR, which hasn’t been shown to be superior to manual CPR but does make running a resuscitation easier, and dual sequence defibrillation, which appears to be useful in certain circumstances.

CPR 52

CPR Outcomes Resuscitation EMS 52

AED Leader

JULY 5, 2024

It features a clear and intuitive interface that guides users through the resuscitation process with step-by-step voice prompts and visual instructions. Smart CPR Guidance Cardiopulmonary resuscitation (CPR) is a critical component of saving a life during a cardiac arrest.

CPR 52

CPR Resuscitation Shock Pediatrics 52

PHEM Cast

APRIL 10, 2016

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

Sepsis 52

Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

The Trauma Pro

SEPTEMBER 20, 2023

Researchers from the US Army performed a retrospective registry study on a sample of military casualties over four years. They are generally kept at room temperature, while the red cells and plasma are kept very cold to preserve their shelf life. They identified soldiers who received either room-temperature or cold-stored platelets.

Military 113

Military Blood Transfusions Administration Outcomes 113

SheMD

MAY 11, 2023

Research indicates that the gender of a provider may impact their performance. They studied the effect of gender composition of resuscitation teams with all different combinations (female-female; female-male; male-male; male-female). link] ,Why is this article important? Meier A, Yang J, Liu J, et al. Crit Care Med.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

PulmCCM

JANUARY 22, 2024

This was in large part due to the recommendations from a task force of the International Liaison Committee on Resuscitation (ILCOR) , and their enshrinement in the American Heart Association’s 2005, 2010 and 2015 post-cardiac arrest management guidelines.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia Outcomes Research Hospitals 80

St. Emlyn

FEBRUARY 7, 2025

St.Emlyn's - Emergency Medicine #FOAMed This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice.

Evidence-Based Practice 78

Evidence-Based Practice Research Resuscitation 78

RCEM Learning

APRIL 9, 2024

Ensure that you have a solid understanding of the core subjects, including emergency medicine, critical care, resuscitation, trauma management, and relevant guidelines. Review the Exam Syllabus: Carefully review the exam syllabus to identify the key topics and areas that will be tested.

Infectious Diseases 52

Infectious Diseases Airway Management Resuscitation Poisoning 52

ACEP Now

APRIL 3, 2024

Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Recent Clinical Evidence on Post-Arrest TTM The accumulated post-arrest care literature makes clear that careful fever avoidance following resuscitation is essential. Circulation.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The researchers compared children diagnosed via screening with those diagnosed after clinical symptoms appeared. Shah M, et al. 2024 Apr 12:114054. Luque V, et al.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Advanced Emergency Nursing from AENJ

APRIL 22, 2014

Health Research Press, 1959." Emergency Airway, Ventilation, and Cardiac Resuscitation Anesth Prog. Elam ’s references include: "1. Rescue Breathing with the Roswell Park Pocket Mask, The Roswell Park Handbook for Training in Rescue Breathing. " which could seem most likely to be the product insert for the device.

Emergency Nursing 40

Emergency Nursing Resuscitation Pediatrics Research 40

ETM Course

JUNE 17, 2015

Joseph is a Consultant Emergency Physician with the inpatient Trauma Service and Emergency Department at the Alfred in Melbourne, and is also head of International Programs (South Asia) with the National Trauma Research Institute. We also cover the oft-misunderstood procedure of retrograde urethrogram (RUG).

Fractures 40

Fractures Emergency Department Resuscitation Research 40

ACEP Now

AUGUST 12, 2024

Some other different features this year include: Integrated Research Forum: Get ready for an electrifying experience at ACEP’s Research Forum, emergency medicine’s premier research event! Resuscitation: Hone life-saving clinical measures. 28: 1 p.m.–4 Off Track: Non-CME education curated from sections and committees.

Ultrasounds 52

Ultrasounds Research Radiology Radiology 52

The Skeptics' Guide to EM

NOVEMBER 18, 2017

The nurse triages both to beds in the acute/resuscitation area of the department. Alternating therapy may be beneficial for comfort, but more research is required to address this specific question. Both are similarly hypotensive and tachypnoeic,drowsy but orientated, with hot, reddened and increasingly painful cellulitis. Probably not.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

RebelEM

DECEMBER 19, 2022

I am hopeful this trial encourages future research on the subject matter so we can answer additional questions it has left us (ie. With everything just mentioned considered, DED, in addition to other resuscitative therapies, should still be used for patients in RVF. N Engl J Med. 2022 Nov 6 PMID: 36342151 Cheskes S, et al.

EMS 52

EMS CPR Shock Resuscitation 52

Taming the SRU

FEBRUARY 19, 2024

This has been the central question of many research projects with variable outcomes. One such study of 263 patients without hypertensive emergencies treated in a resuscitation unit found that 40% of patients had a MAP difference ≥ 10 mmHg between IABP and NIBP measurements. Critical care and resuscitation, 11(1). Gelmann, D.,

Shock 59

Shock Resuscitation Ultrasounds Research 59

Mind The Bleep

FEBRUARY 27, 2024

There could be any number of reasons for this but some examples are: they have severe D&V and aren’t keeping fluids down, or because they are pre or post-op, or have presented very unwell and need fluid resuscitation. saline), however more research is needed in this area. [4] Which type of fluid to use?

Fluid Resuscitation 96

Fluid Resuscitation Dehydration Hospitals Research 96

Northwestern EM Blog

FEBRUARY 14, 2022

Severe shock is defined as persistent hypotension requiring vasopressors to maintain a mean arterial pressure of 65mmHg and serum lactate <2 despite adequate volume resuscitation. Two classes of vasopressors have been used in the past for hypotension. They are catecholamines and vasopressin-like peptides.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 52