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The Broselow-Luten System

Pediatric EM Morsels

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). x exp[0.02

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ToxCard: Benzonatate

EMDocs

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

Association between calcium administration and outcomes during adult cardiopulmonary resuscitation at the emergency department A small retrospective study from Thailand showed again that there is no benefit to calcium given during Emergency Department resuscitation. Turkish Journal of Emergency Medicine, 22 , 67-74.

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Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Arch Intern Med 2001;161:2007-2012 13. These results suggest that targeting a lower temperature of 33ºC confers no additional benefit to targeting 36ºC.

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SGEM#265: Total EcLiPSE of the Seizure – What a ConSEPT

The Skeptics' Guide to EM

She presents the emergency department with another seizure for more than five minutes and has not been aborted with two doses of midazolam intramuscularly.You know the guidelines recommend phenytoin as a second line agent, but the junior doctor asks you if levetiracetam would work faster with less side effects. . *

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades. References Eckstein, M., Schneir, A.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. 2012 Jun;14(2):84-9.

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