Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. 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). Broselow does not.

E-9-1-1 269

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

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 1) There are a limited number of antitussives on the US market which include benzonatate, codeine, dextromethorphan, diphenhydramine, and hydrocodone. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

NAEMSP

JANUARY 5, 2023

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] 1] Table from Hamam et al. 9] Figure from Clemency et al. Circulation.

E-9-1-1 52

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

REBEL EM

MARCH 13, 2023

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. Grasner 2011; Zwingmann 2012) Their data pools overlap considerably with previous studies; it would have been concerning if the data differed significantly. 2012 Jul 6;16(4):R117.

Advanced Life Support 52

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

NAEMSP

APRIL 19, 2023

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 overall conclusion was that as less than 1% of cardiac arrest etiologies fall into a group that would potentially benefit from calcium, that routine use should be avoided (Padrao, et.

E-9-1-1 52

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

AAEM RSA

AUGUST 27, 2020

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Kirkegaard H, Soreide E, de Haas, I et al. De Fazio C, Skrifvars MB, Soreide E et al. 2019;23(1):1–9.

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

EMDocs

JULY 3, 2023

9 Delayed NCHCT is less sensitive due to decreased visibility of blood collection secondary to red blood cell (RBC) degradation. 10 Management Initial management of suspected SAH in the first few minutes of presentation to the ED needs to be directed at addressing immediate life threats on primary survey. 2022 Jan;39(1-2):35-48.

ED 85

ED E-9-1-1 ALS OR 85