University of Maryland CC Project

SEPTEMBER 17, 2021

Mallia, Assistant Professor of Emergency Medicine and Associate Program Director of the Pulmonary and Emergency Medicine-Critical Care Fellowship at MedStar Washington Hospital presents on critical care ultrasound and the volume resuscitation dilemma as part of the DC5 lecture series.

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PHEM Cast

JULY 27, 2021

Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound work? Want to know how to use ultrasound? Kenji Inaba. 2015 Marik PE, Cavallazzi R.

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Ultrasounds Fractures Resuscitation EMS 52

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.

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Resuscitation Administration Emergency Department Ultrasounds 105

PulmCCM

NOVEMBER 17, 2023

Operating point guided resuscitation How do we make sense of this? The trick, I believe, lies in ‘operating point guided resuscitation’ [OPGR]. Put another way, because the OP is comprised of both P ra and CO/SV, both values are quantified or qualified at each step of resuscitation. Ultrasound J 2022, 14(1):36.

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Operations Ultrasounds Resuscitation Blood Transfusions 132

Greater Sydney Area HEMS

FEBRUARY 20, 2024

The evidence for improved safety and quality with the use of ultrasound for CVC implementation is well established [i]. How can this situation be rectified or has the use of ultrasound rendered this blind subclavian “trauma line” a thing of the past? One approach to obtaining BCV origin access (fig.1) 2020;35(3):303-321.

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Ultrasounds Shock Research Operations 98

ACEP Now

OCTOBER 29, 2024

Caring for critically ill patients with limited information requires snap assessments and judgements for timely resuscitation and efficient emergency department throughput. In this study, clinical gestalt is not only fast, but accurate for the benefit of timely resuscitation and intervention. Sound familiar?

Emergency Department 59

Emergency Department Mass Casualty Incidents Documentation/Coding Sepsis 59

Taming the SRU

APRIL 11, 2024

cm is normal Hazard ratio in patients with abnormal TAPSE in normotensive patients is high even though the patient is currently hemodynamically stable Acute vs chronic right heart strain Acute McConnell’s sign: apical hypokinesis with RV free wall hypokinesis Will be present in all causes of increased RV pressure including PE, pulmonary HTN, etc.

Ultrasounds 95

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 95

Taming the SRU

JANUARY 1, 2024

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. Ultrasound Guided Peripheral IV (USGIV) Access anatomy of arm veins when considering USGIV. Place ultrasound machine on the opposite side of the bed to minimize neck strain.

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Emergency Department Ultrasounds Administration Burns 92

EMDocs

JUNE 22, 2023

Remember that while mistakes in resuscitation are often dissected and analyzed, it is equally crucial to acknowledge and celebrate the moments of impeccable execution, where lives are saved and hope is restored. He is on a vasopressin infusion now after the four unit bolus from the initial resuscitation. This guy is an ultrasound guru.

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Resuscitation Ultrasounds Critical Access Radiology 98

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.

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Outcomes Ultrasounds Resuscitation Research 52

Ultrasound Gel

MARCH 18, 2019

TEE has been heralded as the latest and greatest way to monitor a cardiac arrest resuscitation. What we do know is that a few studies have shown that transthoracic ultrasound leads to prolonged pauses in cardiac arrest. link] TEE has been heralded as the latest and greatest way to monitor a cardiac arrest resuscitation.

Resuscitation 52

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PHEM Cast

APRIL 16, 2018

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

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EMDocs

APRIL 2, 2024

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

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Documentation/Coding CPR EKG/ECG Sepsis 115

Emergency Medicine News

DECEMBER 31, 2023

An abstract is unavailable.

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Resuscitation Ultrasounds Pediatrics 59

Canadian EM

SEPTEMBER 26, 2023

Traumatic cardiac arrest shares many similarities, yet a few subtle differences from your typical medical resuscitation. Prognostically favourable factors such as shockable rhythm, and organized cardiac activity on ultrasound still exist.

Resuscitation 52

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The Skeptics' Guide to EM

NOVEMBER 23, 2019

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Date: November 21st, 2019 Reference: Daley et al.

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Ultrasounds Emergency Department Academics Outcomes 52

Northwestern EM Blog

APRIL 1, 2024

As listed in the above post, symptoms of molar pregnancy can be similar to viable pregnancy and its complications, so it is important to obtain a timely ultrasound in any patient with unknown pregnancy location or if considering molar pregnancy.

OB/GYN 52

OB/GYN Emergency Department Ultrasounds Resuscitation 52

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

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CPR Burns Airway Management Wellness 90

Taming the SRU

JUNE 24, 2024

Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. Available from: [link] Siamak Moayedi, Priya Patel, Nicholas Brady, Michael Witting, Timm-Michael L. Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing.” EMCrit 310 – Transvenous Pacemakers. EMCrit Blog.

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Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

Critical Care Now

APRIL 26, 2022

His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. They quickly recognized the underlying condition and began resuscitation and stabilization before transport. Reading Time: 3 minutes Mohamed Hagahmed, MD, EMT-P Mohamed is an Emergency Medicine Physician and EMS director.

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Resuscitation Fluid Resuscitation EMS Sepsis 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

His primary interests are resuscitation, prehospital critical […] The post SGEM#231: You’re So Vein – IO vs. IV Access for OHCA first appeared on The Skeptics Guide to Emergency Medicine. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound.

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PulmCCM

MARCH 1, 2022

The core of the conference is, no doubt, ultrasound, especially because Philippe has been at the forefront of point of care ultrasound in the intensive care unit. Therefore, there will be much ultrasound learning during hands-on workshops, in addition to the large library of digital offerings to supplement the face-to-face component.

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Ultrasounds Resuscitation Sepsis 40

Thinking Critical Care

AUGUST 3, 2024

This exclusive event, produced in collaboration with Flosonics Medical, will take place on September 28th, 2024 , in Toronto , Ontario, Canada This masterclass is designed for those who seek a deep dive into the cutting-edge techniques of venous congestion, Doppler ultrasound, and fluid resuscitation.

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Fluid Resuscitation Documentation/Coding Resuscitation Ultrasounds 52

EM Curious

JULY 8, 2015

ULTRASOUND GOODIE BAG ULTRASOUND FOR LATE PREGNANCY [PODCAST]: While not a routine exam we perform other than confirming fetal heart tones, definitely some great pearls on more advanced US topic. Consider an ultrasound guided ulnar nerve block. Part 1 here. US GUIDED ULNAR NERVE BLOCK [BLOG]: Boxer's fracture need a reduction?

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Infectious Diseases Disaster Management Sepsis Ultrasounds 52

Dr. Smith's ECG Blog

OCTOBER 24, 2013

He underwent immediate CPR, was found to be in ventricular fibrillation, and was successfully resuscitated. I do not have the post-resuscitation ECG. An emergency cardiac ultrasound could be very useful. The patient went home and, in front of his wife, he collapsed. He underwent coronary stenting (uncertain which artery).

EKG/ECG 52

EKG/ECG Resuscitation CPR Ultrasounds 52

EB Medicine

NOVEMBER 17, 2020

EMplify November 2020 An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Authors : Christopher Pitotti, MD, FACEP Jason David, MD Topics : The Lethal Triad Prehospital Care Tourniquets - Placement and Pitfalls Stop The Bleed Hemostatic Dressings TXA Temperature Management ED Assessment Shock (..)

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Emergency Department Shock Resuscitation CPR 40

JournalFeed

OCTOBER 22, 2022

Peds MTP Spoon Feed: A transfusion threshold of 20 ml/kg of any blood product during the first hour of pediatric trauma resuscitation maximizes sensitivity and specificity for in-hospital mortality, need for intervention, and additional bleeding episodes and may identify children in need of massive transfusion.

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Ultrasounds Resuscitation Pediatrics Hospitals 40

Pediatric Emergency Playbook

AUGUST 1, 2017

Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. Pyloric Stenosis Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pedaitr Surg. 2007; 16:27-33. Dias SC et al. Insights Imaging. 2012; 3:247-250. Kawahara H et al. J Pediatr Surg. 2005; 40:1848-1851.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

ACEP Now

JUNE 21, 2023

ultrasound and resuscitation procedures) may become a new standard for programs and require a longer training period. Lastly, emergency medicine’s body of knowledge as reflected by the Model of the Clinical Practice of EM is ever-expanding. 15 Some of these training opportunities previously considered unique (i.e.,

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JournalFeed

MAY 7, 2022

Airway POCUS Spoon Feed: Upper airway ultrasound (UA-US) may eventually help us predict if a patient will have a difficult laryngoscopy ahead of time. For access to more, please visit JournalFeed.org for details about becoming a member. However, this is not ready for prime-time, and more studies are needed.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Resuscitation Ultrasounds Outcomes 40

Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

He was resuscitated after fairly prolonged down time, but regained consciousness, though he was confused. We did a bedside cardiac ultrasound. The ECG and ultrasound could not have been differentiated from acute plaque rupture with occlusion of the RCA. This 80 year old with a history of CABG had a cardiac arrest.

EKG/ECG 52

EKG/ECG Ultrasounds Resuscitation Wellness 52

EMDocs

APRIL 10, 2024

2] Labs that may be useful after the initial resuscitation and for the admitting physician may include a basic metabolic panel and an arterial or venous blood gas analysis. [2] 3] If performing a nerve block with ultrasound guidance, always know where the tip of your needle is. [5] per 10,000 cases of peripheral nerve blocks. [3]

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Advances Cardiac Life Support (ACLS) Seizures EMS Poisoning 111

PHEM Cast

DECEMBER 1, 2017

Pleural decompression and drainage during trauma reception and resuscitation. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Initial Management and Resuscitation of Severe Chest Trauma. Ultrasound in Emergency Medicine. Emergency Medicine Journal , 22 (11), 788–789. Mackenzie, C.

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Academics Radiology Radiology Resuscitation 52

Dr. Smith's ECG Blog

OCTOBER 26, 2010

One very useful adjunct is ultrasound: Echo of his heart can distinguish aneurysm from acute MI by presence of diastolic dyskinesis, but it cannot distinguish demand ischemia from ACS. Large volume fluid resuscitation was undertaken. One must clearly rule out these processes before jumping on the ACS diagnosis. The K returned at 6.9

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EKG/ECG Dehydration Fluid Resuscitation Sepsis 52

ACEP Now

AUGUST 12, 2024

Every 30 minutes, a range of topics draws new participants to discuss everything from mastering ultrasound techniques to finding career mentorship. Get a personal financial plan, immerse yourself in hands-on training, brush up on your ultrasound and more. Emergency Ultrasound Management Course: (Sept. 28: 10 a.m.–5 28: 8 a.m.–5:30

Ultrasounds 52

Ultrasounds Research Radiology Radiology 52

The Skeptics' Guide to EM

JANUARY 25, 2020

His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Case: A 60-year-old male is in your emergency department with sepsis from pneumonia.

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EMDocs

JULY 13, 2024

Evaluate for retained products of conception as etiology Diagnosis Diagnosis of endometritis with at least two of the following: 8 Fever >100.4F

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OB/GYN EMS Sepsis Fluid Resuscitation 88