Emergency Live

DECEMBER 7, 2023

New perspectives and plans for the future of cardiopulmonary resuscitation in Italy A new chapter for the IRC The Italian Resuscitation Council (IRC), a well-known nonprofit scientific society of cardiopulmonary resuscitation experts, has opened a new chapter in its history by electing Andrea Scapigliati as its president.

Resuscitation 105

Resuscitation Wellness CPR 105

The Trauma Pro

MARCH 1, 2024

Seriously injured patients frequently develop coagulopathy, which makes resuscitation (and survival) more challenging. This study used an adult swine model with hemorrhage and aortic crossclamping to simulate military injury and resuscitation. Half of the animals then received IV TXA, the other half had it administered via IO.

Military 279

Military Resuscitation Administration Hospitals 279

Emergency Live

OCTOBER 16, 2023

World Cardiopulmonary Resuscitation Day: The Italian Red Cross Commitment Every year on 16 October, the world comes together to celebrate ‘World Restart a Heart Day’, or World Cardiopulmonary Resuscitation Day.

Resuscitation 105

Resuscitation 105

Pediatric EM Morsels

OCTOBER 27, 2023

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. This system has now become the “ industry standard.”

Pediatrics 269

Pediatrics Resuscitation Documentation/Coding Wellness 269

Northwestern EM Blog

JULY 15, 2024

Initial Resuscitation in ARDS [NUEM Blog. Esposito, MD Assistant Professor, Medicine (Pulmonary and Critical Care) Northwestern Memorial Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Edmonson, H. 2024, Jul 15). Expert Commentary by Esposito, AJ. Retrieved from [link] Other Posts You May Enjoy

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 98

Emergency Live

FEBRUARY 29, 2024

My company AIR AMBULANCE Group, in addition to air ambulance service on Bombardier Learjet 45s, offered me another way to experience my profession: medical repatriation missions on scheduled flights. […] The post Bali-Dubai a resuscitation at 30,000 feet appeared first on Emergency Live.

Resuscitation 98

Resuscitation Ambulance Services 98

Emergency Live

DECEMBER 12, 2023

The aim of the […] The post The Importance Of Blsd Courses For Improving The Quality Of Cardiopulmonary Resuscitation appeared first on Emergency Live.

Resuscitation 105

Resuscitation CPR Operations Outcomes 105

The Bottom Line

OCTOBER 23, 2023

In trauma patients with exsanguinating haemorrhage, does the use of the REBOA (resuscitative endovascular balloon occlusion of the aorta) device with standard care in the emergency department, compared with standard care alone, impact 90-day-mortality?

Emergency Department 117

Emergency Department Resuscitation 117

PulmCCM

NOVEMBER 7, 2024

Are intraosseous devices superior to peripheral IVs for vascular access during resuscitation attempts? This defies American and European guidelines advising IO access to be used only if IV access attempts fail. Do EMTs know something the AHA doesn’t? Read more

Resuscitation 98

Resuscitation Administration Hospitals Outcomes 98

Ken Grauer, MD

JULY 29, 2023

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Figure-1: The initial ECG in today's case — obtained following resuscitation from cardiac arrest of an 18-year old woman. About A RVC/ A RVD.

EKG/ECG 370

EKG/ECG Resuscitation Documentation/Coding Hospitals 370

EMCrit

DECEMBER 1, 2024

John Holcomb, author of the PROPPR trial, on massive transfusion in 2024 EMCrit Project by Scott Weingart, MD FCCM.

Resuscitation 126

Resuscitation 126

Dr. Smith's ECG Blog

JULY 25, 2024

For clarity in Figure-1 — I've reproduced today's ECG — obtained following successful resuscitation of out-of-hospital cardiac arrest. == MY Comment , by K EN G RAUER, MD ( 7/5 /2024 ): == Clinical ECG interpretation is a 2-Step process. Figure-1: The initial ECG in today's case. —

Resuscitation 119

Resuscitation EKG/ECG CPR Shock 119

EMCrit

MARCH 13, 2024

People on twitter absolutely hate the concept of using a central line to resuscitate a GI bleeder. This comes up a couple times per year. I think the source of this hatred is largely two-fold: A central line alone is garbage (without a Level-1 or Belmont infuser). I'll admit that.

Resuscitation 88

Resuscitation 88

The Trauma Pro

JANUARY 11, 2024

They cautioned against the use of TXA in the setting of whole-blood resuscitation. Reference: Does whole blood resuscitation increase risk for venous thromboembolism in trauma patients? increase in risk. Bottom line: A lot is going on here. Overall, this is an interesting abstract that makes one think. EAST 2024, Podium paper 33.

Resuscitation 264

Resuscitation Fractures Shock 264

Ken Grauer, MD

DECEMBER 29, 2023

The ECG in Figure-1 — was obtained following successful resuscitation. . = The H ISTORY in T oday's C ASE: The patient in today's case is a teenager who presented to the ED ( E mergency D epartment ) in cardiac arrest after electrocution.

EKG/ECG 438

EKG/ECG Resuscitation Hospitals Wellness 438

Ken Grauer, MD

JUNE 27, 2024

Despite prolonged resuscitation with multiple defibrillation attempts — the patient could not be saved. = That said, it does occur — and awareness of the entities associated with this diagnosis may be important in evaluation and treatment.

EKG/ECG 404

EKG/ECG Poisoning Resuscitation 404

The Trauma Pro

MAY 17, 2024

Early in a resuscitation, we focus on identifying potential sources. Uncontrolled bleeding is the bane of trauma professionals everywhere. We’ve developed numerous techniques for plugging them up. And we have processes in place to replace the blood that’s been lost. Unfortunately, blood products are a perishable item.

Resuscitation 263

Resuscitation Research Hospitals 263

The Trauma Pro

MARCH 14, 2024

Next week, I’ll describe my system for quantifying the space in your trauma bay and address the equipment layout in your resuscitation room. Trauma resuscitation rooms vary tremendously. Bottom line: Once again, don’t try to figure out everything from scratch if you are designing new resuscitation rooms.

Resuscitation 162

Resuscitation Documentation/Coding Hospitals 162

The Trauma Pro

MARCH 21, 2024

This can obviously be helpful if you are updating or building new resuscitation rooms. 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?

Resuscitation 200

Resuscitation Pediatrics 200

Intensive Blog

MARCH 13, 2024

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130

CPR Resuscitation Outcomes Hospitals 130

The Trauma Pro

NOVEMBER 17, 2023

If not, it may be time to terminate resuscitation. Most trauma resuscitation schemes at trauma centers make use of multiple personnel so that various portions of the patient evaluation can be carried out simultaneously. This will expedite the patient’s transfer to the OR. In principle, I agree.

Resuscitation 214

Resuscitation Ultrasounds Hospitals Wellness 214

Dr. Smith's ECG Blog

JUNE 27, 2024

Resuscitation Plus [Internet] 2020;4:100032. Available from: [link] == MY Comment , by K EN G RAUER, MD ( 6/27 /2024 ): == The question of which patients who are successfully resuscitated following cardiac arrest should undergo prompt cath remains under discussion. As per Dr.

Resuscitation 99

Resuscitation EKG/ECG Outcomes Hospitals 99

The Trauma Pro

MAY 14, 2024

Resuscitative thoracotomy is a (sometimes) life-saving procedure reserved for trauma patients in extremis. ” One of the most essential components of the resuscitative thoracotomy is rapid access to the chest. It remains a workhorse instrument for us today and is found in most instrument packs for resuscitative thoracotomy.

Resuscitation 162

Resuscitation Operations Hospitals 162

Emergency Medicine News

DECEMBER 1, 2024

No abstract available

Resuscitation 80

Resuscitation 80

The Trauma Pro

AUGUST 14, 2024

Neither can playing around in the resuscitation room, unless the bleeding is spraying you in the face. Bottom line: By definition, an unstable trauma patient is bleeding to death until proven otherwise (the second law, remember?). Radiation can’t fix that. And the only place with the proper tools to do that is an operating room.

Radiology 202

Radiology Radiology Operations Resuscitation 202

EMCrit

DECEMBER 22, 2023

Is your mind ready for no preparation critical care? EMCrit Project by Scott Weingart, MD FCCM.

Resuscitation 94

Resuscitation 94

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.

Anaphylaxis 145

Anaphylaxis Best Practices Resuscitation Pediatrics 145

Pediatric EM Morsels

JULY 28, 2023

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 The mortality rate for cerebral edema is 21%–24%.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

The Trauma Pro

NOVEMBER 1, 2024

In my experience, one of the areas with the greatest variability is the person or persons who are actually directing the blood resuscitation, hanging the units, and doing the paperwork. But sometimes, the resuscitation needs may overwhelm even their ability to concentrate on the MTP. Frequently, this is split across several people.

Best Practices 113

Best Practices Resuscitation Hospitals 113

Mount Sinai EM

OCTOBER 2, 2023

Standard mid-range size for trauma resuscitation is around 8Fr (the ones at Elmhurst for example are 8.5Fr) Pros : Large access with very high flow rate (lower flow rate if another catheter placed through the sheath such as a central line) to allow you to rapidly infuse fluids – often blood on our case, through them.

Resuscitation 231

Resuscitation Fluid Resuscitation Administration Shock 231

RebelEM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Emergency Live

MARCH 25, 2024

The Importance of Cardiopulmonary Resuscitation In a world where every moment can be crucial to saving a life, knowledge and application of Cardiopulmonary Resuscitation (CPR) and the use of Automated External Defibrillator (AED) emerge as bulwarks against sudden cardiac arrest. What is CPR?

CPR 98

CPR Resuscitation 98

The Trauma Pro

MARCH 18, 2024

You’ll have to work out the details using measurements from your own resuscitation room. Tune in to my next post this week on my thoughts on outfitting your resuscitation room. For my old rooms, it meant we each had a 4×4 foot square to move around in, on average. This was fairly tight, I would say.

Resuscitation 113

Resuscitation Hospitals 113

Don't Forget the Bubbles

DECEMBER 18, 2023

I think we should stop resuscitation. How long should you try to resuscitate? There are no hard and fast rules as to how long a resuscitation attempt should be carried out. We might continue resuscitation attempts longer than usual to allow family members to arrive and hold the child’s hand or be at the bedside when we stop.

Resuscitation 131

Resuscitation Outcomes CPR Hospitals 131

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). Am J Emerg Med. 2023;73:34-39. What They Did: Researchers performed a systematic review and meta-analysis. Am J Emerg Med.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

Ken Grauer, MD

APRIL 26, 2024

Unfortunately the patient arrested before catheterization could be completed — and could not be resuscitated. Repeat ECG showed further progression of ST-T wave changes. The patient was at that point transferred for cardiac cath and PCI. Figure-2: I've labeled today's ECG to illustrate that only 7 beats are seen.

EKG/ECG 395

EKG/ECG Resuscitation EMS Wellness 395

EM Ottawa

FEBRUARY 15, 2024

We’re increasingly cognizant of the physiological importance of maintaining specific hemodynamics during resuscitation. Practice patterns vary broadly, so we’ve done a deep dive into the various evidence around the use of ketamine and etomidate in specific clinical scenarios.

Administration 123

Administration Resuscitation 123