Emergency Live

APRIL 17, 2024

Cardiology has a new ray of hope for patients affected by myocardial infarction complicated by cardiogenic shock. The study called DanGer Shock has revolutionized the treatment of this serious condition using the Impella CP heart pump. It’s a small but incredibly powerful life-saving device.

Shock 98

Shock 98

EM Ottawa

JANUARY 29, 2024

Editorial: Routine Early ECLS in Infarct-Related Cardiogenic Shock? Question: Does early ECLS therapy confer a mortality benefit in patients with MI complicated by cardiogenic shock?

Shock 104

Shock 104

The Bottom Line

APRIL 26, 2024

Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock Møller JE et al. DOI: 10.1056/NEJMoa2312572 Clinical Question In adults presenting with STEMI and cardiogenic shock does the use of a microaxial flow pump (Impella CP) compared to standard care reduce death from any cause at day 180?

Shock 79

Shock 79

EMDocs

MAY 31, 2023

The post Visual Wednesdays: Septic Shock Management appeared first on emDOCs.net - Emergency Medicine Education. Author: Walid Malki, MD ( @Wandering_ER ) // Reviewed by: Brit Long, MD (@long_brit); Alex Koyfman, MD (@EMHighAK) Welcome the Visual Wednesdays, a series that provides focused EM updates with infographics.

Shock 91

Shock EMS Sepsis 91

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

The VSR is what is causing the cardiogenic shock! Mechanical complications occur acutely and significantly alter hemodynamics leading to comp ensatory mechanism which usually involve vasoconstriction and tachycardia, both hallmarks of cardiogenic shock. PIRP is strongly associated with myocardial rupture.

Shock 111

Shock EKG/ECG Hospitals Wellness 111

St. Emlyn

OCTOBER 21, 2024

FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF? Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. appeared first on St.Emlyn's.

Shock 99

Shock Outcomes 99

Sensible Medicine

JUNE 3, 2024

For the study-of-the-week, we will publish a criticism of the DanGer-Shock trial. He and colleagues sent me sharp critiques of the DanGer-Shock trial, which compared the micro-axial flow pump (brand name Impella) vs standard care in patients who had cardiogenic shock due to myocardial infarction. A brief intro to DanGer-Shock.

Shock 75

Shock Hospitals Academics 75

University of Maryland CC Project

AUGUST 18, 2024

In this talk, he discusses the management of refractory distributive shock with a focus one of the novel therapeutics, angiotensin II (trade name Giapreza).

Shock 75

Shock Academics 75

Dr. Smith's ECG Blog

MARCH 7, 2024

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this?

Shock 128

Shock EKG/ECG Documentation/Coding 128

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 100

Shock Outcomes Hospitals EMS 100

University of Maryland Department of Emergency Med

NOVEMBER 17, 2023

This small study suggests using reverse shock index times the Glasgow Comma Scake score may give a prognostication on pediatric trauma seve. Click to view the rest

Shock 90

Shock Pediatrics 90

RebelEM

NOVEMBER 6, 2023

Background Information: Vasoplegic shock is defined as hypotension with normal or increased cardiac output and can commonly occur in post-cardiac surgery patients having received cardiopulmonary bypass. Hydroxocobalamin Versus Methylene Blue for the Treatment of Vasoplegic Shock Associated With Cardiopulmonary Bypass. 2023 Jul 19.

Shock 71

Shock Administration Academics Hospitals 71

EM Ottawa

JANUARY 18, 2024

Approach to Splanchnic Vein Thrombosis & Shock Liver appeared first on EMOttawa Blog. By the end of this, you will all be newly discovered masters of anatomy and have a framework for how […] The post Liver Let Die?

Shock 77

Shock 77

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. He was admitted to the ICU and was unstable, in shock, overnight. Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. The initial K was 3.0 mEq/L and ionized calcium was 5.5 What is going on here?

Shock 98

Shock EKG/ECG Documentation/Coding Resuscitation 98

Emergency Medicine Cases

SEPTEMBER 12, 2023

The post EM Quick Hits 51 – Methylene Blue in Septic Shock, TMJ Dislocation, Crohn’s Disease, Analgesia for Renal Colic, Inhaled Steroids for Asthma, Hypocalcemia in Bleeding Trauma Patients appeared first on Emergency Medicine Cases.

Dislocations 91

Dislocations Shock EMS Sepsis 91

Medagadget

JULY 12, 2023

Moximed , a medtech company based in California, has developed the MISHA knee system, an implantable shock absorber for use in patients with knee osteoarthritis. Anton Clifford: The MISHA Knee System is the first FDA-cleared implantable shock absorber developed for the treatment of medial compartment knee osteoarthritis.

Shock 73

Shock 73

Dr. Smith's ECG Blog

MAY 30, 2023

A 50-something man presented in shock with severe chest pain. The patient was in clinical shock with a lactate of 8. This confirms inferior, posterior, lateral, and RV MI RV MI often leads to shock and (systolic) hypotension. RVMI explains part of the shock. His prehospital ECG was diagnostic of inferior posterior OMI.

Shock 97

Shock EKG/ECG Academics Stroke 97

Pediatric EM Morsels

JUNE 2, 2023

Food Protein Induced Enterocolitis Syndrome (FPIES): Basics Non IgE-mediated food allergy ( Calvani, 2021 ) Profuse vomiting and diarrhea that can progress to lethargy , pallor , and shock Usually seen in infants (<1 year) as new foods are being introduced in diet Common dietary triggers include grains, cow milk and soy ( Michelet, 2017 ) Can also (..)

Dehydration 189

Dehydration Shock Pediatrics Emergency Department 189

Emergency Live

AUGUST 19, 2024

FDA approved the first adrenaline-based nasal spray used to treat anaphylactic shock An epochal breakthrough in the management of severe allergic reactions has been announced by the US Food and Drug Administration (FDA).

Shock 52

Shock Allergic Reactions Administration Research 52

St. Emlyn

JUNE 23, 2024

Patients presenting […] The post JC: The impact of double sequential shock timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Shock 74

Shock Outcomes Hospitals EMS 74

The Trauma Pro

AUGUST 13, 2024

This includes sources of obstructive shock such as tension pneumothorax and tamponade. The Second Law Of Trauma Your trauma patient is bleeding to death until you prove otherwise. Obviously, there are a few uncommon exceptions to this rule. But by and large, you will find this law a solid one.

Operations 198

Operations Shock 198

Emergency Live

SEPTEMBER 24, 2024

New allergist task force in action The shortage of adrenaline self-injectors, essential life-saving drugs to counter anaphylactic shocks, is taking on alarming proportions in Italy.

Shock 52

Shock Allergic Reactions 52

The Trauma Pro

FEBRUARY 14, 2025

The Advanced Trauma Life Support course lists “classes of hemorrhage”, and various other sources list a similar classification for shock. I’ve not been able to pinpoint where these concepts came from, exactly. But I am sure of one thing: you will be tested on it at some point in your lifetime.

Shock 147

Shock Resuscitation 147

RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

Emergency Live

AUGUST 5, 2024

shock has […] The post Strong earthquake shock shakes Calabria: no damage but much concern appeared first on Emergency Live. With epicenter near Pietrapaola in the province of Cosenza, The magnitude 4.9

Shock 52

Shock 52

Mount Sinai EM

AUGUST 20, 2023

Presentation CNS symptoms Cardiovascular symptoms Tongue and perioral numbness Hypertension and tachycardia Paresthesias Vasodilation and hypotension Restlessness Bradycardia, AV blocks Tinnitus Prolonged PR and QRS Fasciculations or tremors Ventricular arrhythmias Tonic-clonic seizures Refractory shock Altered mental status Cardiac arrest Apnea Neurologic (..)

Seizures 238

Seizures Shock Outcomes 238

Sensible Medicine

SEPTEMBER 11, 2023

Investigators from Leipzig Germany called the trial ECLS-SHOCK. It studied the use of extracorporeal life support in patients with cardiogenic shock due to acute myocardial infarction. ECLS-SHOCK delivered shocking results. Cardiogenic shock often leads to death. First some background. Think pump failure.

Shock 122

Shock Outcomes 122

The Trauma Pro

JANUARY 11, 2024

Specific ones that come to mind are shock, long bone or spine fractures, and TBI. Similarly, was there a relationship between the number of units of whole blood and possible “protection” from VTE? Did you examine other physiologic or anatomic variables and their relationship with VTE?

Resuscitation 264

Resuscitation Fractures Shock 264

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure B At this point, with the ECG changing from diffuse ST depression to widespread ST elevation and the patient presenting in cardiogenic shock, left main coronary artery (LMCA) occlusion is the likely diagnosis. Complete LMCA occlusion is associated with clinical shock and/or cardiac arrest. This is an ominous sign.

EKG/ECG 131

EKG/ECG Shock Emergency Department Ambulance Services 131

EM Ottawa

JANUARY 9, 2025

From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced.

Shock 113

Shock Emergency Department Infectious Diseases Sepsis 113

St. Emlyn

OCTOBER 21, 2024

FOAMed @stemlyns The post AP or AL pad position for first choice shock in VF? Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. appeared first on St.Emlyn's.

Shock 52

Shock Outcomes 52

Sensible Medicine

APRIL 1, 2024

In the same session, Jacob Eifer Møller, MD, PhD, from Odense University in Denmark, will present the results of the DanGer-Shock trial. I rank this trial—of the Impella ventricular assist device in patients with cardiogenic shock—as one of the most important trials of this decade.

Shock 129

Shock Wellness Outcomes 129

The Trauma Pro

APRIL 9, 2024

T he following were considered the hard signs: Active hemorrhage Expanding or pulsatile hematoma Bruit or thrill over the injured area Unresponsive shock Hemoptysis or hematemesis Air bubbling from the wound These patients were immediately taken to the OR and explored through an appropriate incision.

Operations 223

Operations Shock 223

Sensible Medicine

JUNE 24, 2024

One of the most common uses of LV assist devices is cardiogenic shock due to an acute MI. As I covered in April , the DANGER-Shock trial produced positive results. DANGER-Shock, like many trials, had caveats. More than DANGER-Shock). I took a picture of my thoughts about DANGER-Shock. I am not against this device.

Shock 101

Shock Hospitals 101

Mount Sinai EM

APRIL 7, 2023

Here’s a list on how TB might present: Region Symptoms Imaging Pulmonary – apical and posterior upper lobes, superior segment of lower lobe Productive cough, dyspnea, hemoptysis, pleuritic chest pain Immunocompromised may have more atypical findings Lymph Tends to be unilateral and non-tender Can develop scrofula= enlarged cervical nodes that (..)

Shock 130

Shock Hospitals 130

Emergency Live

MAY 8, 2024

The importance of a life-saving tool An Automatic External Defibrillator is a life-saving device that can deliver an electric shock in the event of a cardiac arrest. With a shock from a defibrillator, the normal heart rhythm can be restored.

CPR 98

CPR Shock 98

The Trauma Pro

JANUARY 3, 2024

They postulated that, since hemorrhagic shock can cause hyperfibrinolysis (HF) and early administration of agents like TXA seem to work better when given early, wouldn’t it be nice to have a more objective way of identifying it as early as possible? The study was prospective and observational and involved two Level I trauma centers.

Shock 113

Shock Operations Administration Hospitals 113