RebelEM

NOVEMBER 30, 2023

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). What They Did: Researchers performed a systematic review and meta-analysis. Am J Emerg Med. 2023;73:34-39.

Sepsis 118

Sepsis Fluid Resuscitation Resuscitation Administration 118

Emergency Medicine Journal

OCTOBER 26, 2023

Despite decades of investment and research, survival remains disappointingly low. Inclusion criteria were non-traumatic cardiac arrests treated with at least one external electric shock with an automated external defibrillator from the basic life support team and resuscitated by a physician-staffed ALS team.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

The Trauma Pro

OCTOBER 6, 2023

At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. The first is from an international research group that searched the usual databases and initially found 921 records. However, the same question arises: do it early or wait a while?

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

ACEP Now

OCTOBER 9, 2023

1 The time pressure of trauma resuscitations and the variable severity of injury make obtaining informed consent before a trauma exam difficult. Interviews with patients who experienced trauma resuscitations reveal themes similar to our unspoken professional fears. Patient experiences of trauma resuscitation. 2017;152(9):843.

Resuscitation 126

Resuscitation Research Stroke Emergency Department 126

EMDocs

JANUARY 25, 2025

Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. BioMed Research International, 2020, 1-10. Journal of Research in Pharmacy Practice, 6(1), 31. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation.

EMS 88

EMS Infectious Diseases Allergic Reactions Fluid Resuscitation 88

Advanced Emergency Nursing from AENJ

MAY 3, 2014

Although told several times, the story of the development by Henning Ruben of the prototypical modern manual resuscitator, the self-refilling bag with unidirectional non-rebreathing valves which now dominate the world of resuscitation, is still not well-known. Czech Military resuscitation kit, 1969, mfr.

Resuscitation 40

Resuscitation Military Operations Emergency Nursing 40

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Most of the research on the use of MB has been in patients with vasoplegia following cardiopulmonary bypass. septic shock). 95% CI 15.4 vs 0.5% (Range 0.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

JUNE 1, 2023

Population: Patients successfully resuscitated from OHCA without a clear diagnosis on presentation who were stable for CT. Costs include actual cost of the scans as well as delaying other patients’ scans but also includes time taken away from resuscitation to move the patient to and from CT. IQR 2.2 – 69.5)

Outcomes 144

Outcomes Resuscitation Hospitals CPR 144

Taming the SRU

JULY 24, 2024

Population Patients were adult (18 or older) patients at a single academic emergency department who were triaged to a resuscitation bay and were not classified as a trauma, STEMI, stroke, cardiac arrest, or active labor. Importantly, only patients triaged to resuscitation bays were enrolled.

Sepsis 89

Sepsis Resuscitation Emergency Department Wellness 89

Advanced Emergency Nursing from AENJ

MAY 27, 2014

This is the fourth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. The select bibliography will provide ample links to extend your reading. “Carbon Dioxide Resuscitation?” You think to yourself, “ What could that be?” In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

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

Taming the SRU

MAY 11, 2024

r1 clinical knowledge - r4 capstone - research grand rounds - the art of em - Community corner - PEM Lecture r1 Clinical knowledge: transplant complications WITH dr. gabor Time-sensitive peri-transplant emergencies: Bleeding fistula- stop the bleed. Assessed and provided feedback of pediatric resuscitations based on video review.

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. Effect of lower vs higher oxygen saturation targets on survival to hospital discharge among patients resuscitated after out-of-hospital cardiac arrest: the exact randomized clinical trial. Gotta catch ‘em all!” 2023;330(23):2267. 2022;328(18):1818.

Research 52

Research Airway Management Stroke Outcomes 52

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 99

Resuscitation Fluid Resuscitation Hospitals Research 99

Don't Forget the Bubbles

AUGUST 23, 2023

These unprocessed emotions can lead to vicarious trauma , especially in resuscitation providers. Rather, immediately after an unsuccessful resuscitation attempt, there should be an opportunity for those involved to partake. Spartan Medical Research Journal. Resuscitation. Przednowek, T. Spencer, S.A.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

RebelEM

SEPTEMBER 14, 2023

At our institution patients do not go for diagnostic heart catheterization and then get put on ECMO, they are initiated on ECMO during the time of their initial resuscitation and then go for heart catheterization once they are stabilized. Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 49.0% RR 0.98; 95% CI 0.80 Control 3.8%

Shock 133

Shock Outcomes Resuscitation Stroke 133

RebelEM

NOVEMBER 20, 2023

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12].

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

Don't Forget the Bubbles

JULY 31, 2023

2004) Positive end expiratory pressure during resuscitation of premature lambs rapidly improves blood gases without adversely affecting arterial pressure. The researchers delivered premature lambs at 125 days gestation (term being 147 days) and proceeded to intubation and drainage of lung fluid. Probyn, M.E., Hooper, S.B., Crossley, K.,

Rapid Diagnostic Testing 98

Rapid Diagnostic Testing Resuscitation Emergency Department Pediatrics 98

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 90

Emergency Department Resuscitation Pediatrics EKG/ECG 90

Don't Forget the Bubbles

NOVEMBER 29, 2023

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Intensive Care Research , 1 (3-4), pp.60-64. While some studies showed that CPRIC is associated with increased survival to hospital discharge, administering muscle relaxants during resuscitation increased mortality.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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 103

Hospitals CPR EMS Outcomes 103

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 130

Emergency Department Resuscitation Hospitals EKG/ECG 130

Emergency Medicine Journal

SEPTEMBER 27, 2023

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

Resuscitation 40

Resuscitation Hospitals CPR Research 40

Taming the SRU

MARCH 30, 2024

Emergency Critical Care Center (EC3) at the University of Michigan: Dedicated critical care unit within the emergency department that was created to improve access to timely, high-quality critical care after identifying a gap in emergency care delivery for patients Reduced risk-adjusted 30 day mortality among all ED patients, lower ICU admission rates (..)

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia Leadership Emergency Department Seizures 95

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

RebelEM

JUNE 19, 2023

The PATCH-trauma researchers sought to address this critique. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures). Article: PATCH-Trauma Investigators and ANZICS Clinical Trial Group.

Blood Transfusions 105

Blood Transfusions Outcomes Administration Hyperthermia / Hypothermia 105

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 91

Stroke EKG/ECG Seizures CPR 91

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

Taming the SRU

MARCH 30, 2023

Background Early recognition and resuscitation of patients in septic shock are critical skills for an emergency medicine physician. and hepatic encephalopathy), advanced liver cirrhosis, atrial fibrillation, presence of ventricular dysrhythmia, use of pacemaker, and those with do-not-resuscitate orders. decreased DSI values).

Shock 52

Shock Outcomes Sepsis Resuscitation 52

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

AED Leader

DECEMBER 6, 2024

Effective resuscitation care, including rescue breaths and temperature management, is key to improving both neurological and longer-term outcomes. One notable partnership is with LIFENET Care, a crucial player in resuscitation care. Stryker works with LIFENET Care to share vital patient data and improve resuscitation care.

Basic Life Support 52

Basic Life Support Resuscitation Outcomes Hospitals 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

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. The GCS must be obtained through interaction with the patient (i.e.,

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98