Pediatric EM Morsels

JULY 19, 2024

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. Tranexamic Acid (TXA) IV TXA 15 mg/kg for a child 1 g for adult (that’s right…this isn’t just a presentation seen in children.

E-9-1-1 286

E-9-1-1 Epinephrine Emergency Department OR 286

Pediatric EM Morsels

OCTOBER 27, 2023

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. 2020;13(1):9.

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

REBEL EM

SEPTEMBER 13, 2023

Features Urticaria and pruritis Rapid onset (1-2 hours) IgE Dependent (Type I Hypersensitivity) Reactions An allergen cross-links two or more IgE molecules on mast cells or basophils and initiates a signal cascade leading to degranulation. Both conditions can range in severity from benign to life threatening (Wilkerson 2012).

Frozen Plasma 105

Frozen Plasma Allergic Reaction FFP Plasma 105

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. 1] Table from Hamam et al. 9] Figure from Clemency et al. 1] References 1. minutes versus 5.4 minutes). [5] vs 19.7%) access (figure below).

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

FOAMfrat

OCTOBER 20, 2023

As reported within the 6th edition Manual of Emergency Airway Management, there are cardiac arrest rates between 1% and 4%, with other complications (mostly hypoxemia and hypotension) as high as 30% in patients with first-pass success [1, pg 29; 4-10]. Recommendations : 1. Why is Physiologic Optimization Important?

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

ECG & Echo Learning

OCTOBER 2, 2022

Most agents exhibit both vasopressor and inotropic effects (Figure 1). Epinephrine Shock (any) Cardiac arrest Bronchospasm Anaphylaxis Bradycardia (second-line alternative) Infusion : 0.01 μg/kg/min Bolus : 1 mg IV every 3 to 5 min (max 0.2 mg/kg) IM: (1:1000): 0.1 De Backer D, Creteur J, Silva E, Vincent JL.

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. This CI does include 1; and further and further analysis of the data showed that the likelihood that calcium has a beneficial effect (e.g. The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52