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

Northwestern EM Blog

FEBRUARY 14, 2022

The ATHOS-3 trial in 2017 explored the efficacy of angiotensin II as a vasopressor for severe vasodilatory shock. 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.

Shock 52

Shock Resuscitation Fluid Resuscitation Sepsis 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. But are they good enough? Gelmann, D., Raffman, A.,

Shock 59

Shock Resuscitation Ultrasounds Research 59

RebelEM

DECEMBER 19, 2022

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. I am hopeful this trial encourages future research on the subject matter so we can answer additional questions it has left us (ie.

EMS 52

EMS CPR Shock Resuscitation 52

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. The nurse triages both to beds in the acute/resuscitation area of the department.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 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. Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. degrees Celsius.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

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

Pediatric Emergency Playbook

APRIL 1, 2016

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. 2013; 29:715-719.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Dr. Smith's ECG Blog

MAY 19, 2020

In this case, profound shock for 1 hour would result in the same degree of infarction. The Type 2 MI would then have been a result of the prolonged severe shock while in arrest. If the arrest had another etiology (such as old scar), and the ST elevation is due to severe shock, then it is a type II STEMI. Troponin I rose to 44.1

CPR 52

CPR EKG/ECG Shock Ultrasounds 52

PulmCCM

JANUARY 4, 2022

As well, the volume of administration might be much lower than 500 mL, with previous research indicating that 4 mL/kg of crystalloid was an optimal volume needed to increase mean systemic filling pressure. Thoughts Barthelemy and colleagues report an inventive and necessary study for those interested in resuscitation physiology.

Wellness 40

Wellness Outcomes Sepsis Stroke 40

RebelEM

MAY 29, 2023

septic shock). 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. Paper: Ibarra-Estrada, M et al.

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

RebelEM

SEPTEMBER 14, 2023

Background: Cardiogenic shock develops in up to 10% of patients with acute myocardial infarction (AMI) and carries a 30 day mortality rate around 50%. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. Many centers have attempted ECLS to achieve hemodynamic stabilization in this group of patients. Control: 53.4%

Shock 136

Shock Outcomes Resuscitation Stroke 136

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 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

Taming the SRU

MARCH 30, 2023

Diastolic shock index and clinical outcomes in patients with septic shock. O: There was an association between increased diastolic shock index score and mortality at 90 days and performed similarly to more advanced measures of morbidity and mortality in septic shock including lactate levels and SOFA scores.

Shock 52

Shock Outcomes Sepsis Resuscitation 52

EMDocs

DECEMBER 18, 2023

Septic shock is high on the differential diagnosis for this patient’s presentation. Introduction Sepsis and septic shock are life-threatening conditions characterized by severe systemic inflammation and organ dysfunction due to a dysregulated host response to infection. What are the most up-to-date guidelines for managing this patient?

Sepsis 93

Sepsis Fluid Resuscitation Resuscitation Shock 93

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

Don't Forget the Bubbles

MARCH 31, 2025

The Bridge is a Postgraduate Doctor in Training (PGDiT)- led paediatric research forum in Yorkshire and Humber, UK, with the aim of bridging the gap in research access among PGDiT. Sepsis is a significant cause of mortality in children, and fluid resuscitation is a key treatment strategy. Why does it matter? Am J Emerg Med.

Sepsis 59

Sepsis Fluid Resuscitation Shock Resuscitation 59

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

Northwestern EM Blog

JANUARY 24, 2022

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

PulmCCM

JUNE 5, 2023

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. makes me long for an adequately powered randomized trial.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

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]. 2023;e2320850.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

AED Leader

SEPTEMBER 21, 2024

Why is defibrillation important Defibrillation is the process of delivering an electrical shock to a person experiencing life-threatening heart rhythms, like ventricular fibrillation (VF) or pulseless ventricular tachycardia. The defibrillator administers a shock measured in joules to the heart at precisely the right moment.

CPR 52

CPR Shock Resuscitation Hospitals 52

EB Medicine

OCTOBER 1, 2018

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Jeff : Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice.

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

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

AED Leader

MAY 30, 2024

AEDs are portable devices that deliver an electric shock to the heart, restoring its rhythm. Regular battery replacement guarantees that the device is always powered and ready to deliver a life-saving shock. This can significantly reduce the chances of successful resuscitation.

Shock 52

Shock Resuscitation Best Practices CPR 52

EMDocs

DECEMBER 16, 2023

Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. Ice water immersion and iced peritoneal lavage are additional methods used to lower temperature but are more invasive or can prevent additional resuscitative efforts.

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia EMS Stroke Seizures 95

AED Leader

JULY 7, 2024

The Role of AEDs in Saving Lives An Automated External Defibrillator ( AED ) is a portable device that delivers an electric shock to the heart to restore its normal rhythm. AEDs analyze the heart’s rhythm and deliver a shock only if necessary, ensuring the safety of both the user and the victim.

Shock 52

Shock CPR Operations Resuscitation 52

Thinking Critical Care

MAY 18, 2023

In 1983 I was an Englishman abroad, the London anaesthetist who was appointed to be the English anaesthetist on the Shock Team only because the outstanding candidate from Oxford had preferred to take up a job doing muscle relaxant research with Kitz and Katz in the USA. 4] The research agenda at the time was broad.

Shock 40

Shock Research Sepsis Resuscitation 40

Critical Care Now

JULY 7, 2024

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. While REBOA may not be a universal solution, further research is needed to determine specifically which patients or injury patterns would benefit from its deployment.

Resuscitation 52

Resuscitation Military Outcomes Hospitals 52

Critical Care Now

JULY 7, 2024

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. While REBOA may not be a universal solution, further research is needed to determine specifically which patients or injury patterns would benefit from its deployment.

Resuscitation 52

Resuscitation Military Outcomes Hospitals 52

Taming the SRU

OCTOBER 1, 2023

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. J Emerg Trauma Shock. Resuscitation. Rojas R, Wasserberger J, Balasubramaniam S.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

AED Leader

SEPTEMBER 20, 2024

It provides directions, leading every step – verify breathing, shout for aid, hit the shock button if required. And let’s not forget about those automatic shock adjustments and pediatric modes. Research brands with good reputations in medical equipment. Your pulse quickens; your thoughts scatter. You snatch it.

CPR 52

CPR Shock Operations Resuscitation 52

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

The latter 1950s and 1960s, quested for nerve gas defense studying expired air resuscitation and modern resuscitology; developing intensive care units. To me, it harkens a new scientific renaissance of resuscitation science, emergency care, and creating systems for care. 1950s & 1960s Resuscitation Research.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

RebelEM

MAY 15, 2024

BMC Health Services Research. Give appropriate fluids, vasopressors, and antibiotics. Volume 21, Issue 6, June 2015, Pages 583-590 Perron T, Emara M, Ahmed S. Time to antibiotics and outcomes in cancer patients with febrile neutropenia. 2014;14:162. doi:10.1186/1472-6963-14-162. Radiologypics, P. 2014, November 10).

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

Journal of Emergencies, Trauma and Shock, 3(1), 39. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. Geoff Jara-Almonte, MD and Hilary Fairbrother, MD // Editor: Alex Koyfman, MD Resuscitation of the Pregnant Trauma Patient – Pearls and Pitfalls www.emdocs.net 2/6/2015 Desjardins, G. Capriola, M. Weingart, S.,

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Downeast Emergency Medicine

APRIL 26, 2021

The primary outcome was 30-day mortality with secondary outcomes looking at 24 hour in-hospital mortality, blood resuscitation at 6 and 24 hours, incidence of multiorgan failure, ARDS, nosocomial infection, early seizures, PE/DVT, crystalloid resuscitation after 24 hours, and the incidence of coagulopathy. MI or stroke).

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52