Core EM

OCTOBER 2, 2024

2013 Feb;160(4):434-44. Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% Hirayama F. Br J Haematol.

Allergic Reaction 100

Allergic Reaction Plasma ED Epinephrine 100

REBEL EM

MARCH 23, 2023

The group that received phenobarbital had a higher maximum CIWA score than the group that received lorazepam, which could mean that phenobarbital was not as effective as lorazepam, although this is potentially confounded by patients who were transferred to the ICU were excluded from the study.

ICU 52

ICU Emergency Department ALS OR 52

REBEL EM

JANUARY 25, 2023

Acad Emerg Med 2013; 20(6): 528-44. Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 3.6 – 55.6) (-) LR: 0.13 (0.08 – 0.20) ED US (+) LR: 9.5 (2.1

ED 52

ED ALS OR ICU 52

EMDocs

JANUARY 16, 2024

He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. 2013 Jan 24;368(4):394]. The patient begins to blink and make purposeful movements, at which point he is started on sedation for comfort and safety. Resuscitation. N Engl J Med. Hypothermia.

Defibrillator 110

Defibrillator CPR Epinephrine Life Support 110

Emergency Medicine Ireland

APRIL 5, 2021

There is an interesting concept called the furosemide stress test that was first described by Chawla in 2013 and then repeated by Rewa in 2019. This is one of the current generation of ICU mega trials where all the great and good critical trials groups get together and put out a trial to end all trials.

Critical Care 40

Critical Care ICU OR 40

ACEP Now

JULY 7, 2024

2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus). Neurology consultation should be initiated, and the patient should be admitted to the ICU.

Emergency Department 52

Emergency Department Critical Care ALS ICU 52

EMDocs

SEPTEMBER 25, 2023

Despite the risk of hypotension and bradycardia, propofol has been shown in the ICU setting to be a safe and effective monotherapy intubation agent for hemodynamically unstable patients (19). Resuscitation 2013; 84(11): 1500 – 4. 2013): 71-78. References: Heffner AC et al. PMID: 23911630 Kim WY et al. Sakles, John C.,

ED 93

ED Emergency Department ALS Paramedic 93

ACEP Now

APRIL 3, 2024

1,2 However, the European TTM1 trial in 2013 showed similar outcomes for those cooled to 33 degrees Celsius compared to 36 degrees Celsius, leading to a 2015 AHA class I recommendation of “cooling between 32 degrees Celsius-36 degrees Celsius.” 5,6 In 2021, the TTM2 trial was published. Crit Care Med. 2020;48(3):362-9. Resuscitation.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

Medgadget

MAY 3, 2023

and Canada, and in 2013 my responsibilities expanded to lead the Central Corridor $2.5B In 1999, I joined GE Capital in the U.S. and held several General Manager roles both for GE Capital Equipment Finance and GE HealthCare Financial Services Global Vendor division. In 2010, I served as General Manager for the $1.4B business unit.

Critical Care 80

Critical Care OR ICU 80

Don't Forget the Bubbles

OCTOBER 19, 2023

Secondary outcome analysis showed there was no difference in length of hospital stay, ICU stay, or duration of oxygen therapy. You’ve two options: Yes – give TXA No – don’t give TXA The 2013 CRASH 2 international multicentre RCT compared TXA with placebo in >20,000 adult trauma patients. Which brings us to PARIS-2.

E-9-1-1 81

E-9-1-1 ED OR Emergency Department 81

Dr. Smith's ECG Blog

MAY 5, 2022

He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. The Brugada pattern previously seen in V1 and V2 has almost completely resolved, now actually showing type 2 Brugada morphology in V2 with the wide beta angle.

E-9-1-1 52

E-9-1-1 OR STEMI ED 52

EMDocs

FEBRUARY 12, 2024

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). 2013 May;14(3):212-7. doi: 10.1136/emermed-2013-202879. Epub 2013 Oct 17. PMID: 21814105 (24) Vohra T, Paxton J. West J Emerg Med. 2012.3.6905.

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98

ACEP Now

JUNE 14, 2024

4,6,11 Antibiotics Antibiotic use for AECOPD patients remains a contentious topic; however, data suggests AECOPD patients requiring admission, particularly to the ICU, should receive antibiotics. Management Oxygen Supplemental oxygen should not be withheld despite risk of hypercapnia. 1 Titrate to oxygen saturation of 88-92 percent.

ALS 52

ALS Coronary OR ED 52

EMDocs

JUNE 27, 2024

Critical Care Medicine 41(12):p A191, December 2013. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. May substitute levofloxacin if allergic to cephalosporin Anti-viral medications if indicated Oseltamivir for influenza Patients >14 days old Remdesivir for COVID Patients >28 days old and at least 7lbs (3.2 Niger J Clin Pract.

E-9-1-1 98

E-9-1-1 ICU ACS EMS 98

EMDocs

JUNE 7, 2023

Disposition is often admission to an intensive care unit (ICU) setting. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. 2013; 6:524. Published 2013 Dec 9. Clin Toxicol (Phila) 51: 838, 2013. Airway management should not be delayed.

E-9-1-1 98

E-9-1-1 ICU Emergency Department ED 98

Dr. Smith's ECG Blog

DECEMBER 23, 2024

She was resuscitated and admitted to ICU for presumed sepsis. In an effort to reinforce these measures presented by Dr. Frick in his above discussion I've reproduced the following Section from my ACLS-2013-ePub. adapted from Grauer K: ACLS-2013-ePub Section 15, KG/EKG Press ). Her family had not heard from her and called EMS.

ICU 114

ICU OR Paramedic EMS 114

REBEL EM

DECEMBER 23, 2024

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Lactated Ringer (LR) and 0.9% However, without more granular clinical data, it is unclear whether all relevant confounders were included.

ALS 129

ALS ED ACS EMR 129

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. 2013 Apr 17;10(6):747-50. It was first dubbed the “bloody vicious cycle” by the American Trauma Society and was correlated with increased hemorrhage and death. Diagnostics. link] Reddi BA.

ICU 119

ICU Emergency Department OR ED 119

EMDocs

JANUARY 16, 2025

doi: 10.1136/emermed-2013-202449. Epub 2013 Jul 14. but PPV ranges from 25.1-39.5% years Internal validation cohort: 43,400 patients with mean age 3.7 years External validation cohort: 45,855 patients with mean age 2.6 0.38 (95% CI 0.20-0.39) 0.39) AUROC of 0.71-0.92 0.92 (95% CI 0.70-0.92) and PPV of 5.3-7.1% and PPV of 22.2%

ALS 96

ALS Critical Care ICU Emergency Department 96

EMDocs

JANUARY 20, 2025

Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). In 2013 Richer et al. 2013 Jul;38(7):534-7. Restriction of Intravenous Fluid in ICU Patients with Septic Shock. Circulation. Clin Nucl Med.

ED 75

ED ALS Emergency Department Critical Care 75

Core EM

JANUARY 16, 2025

The 3/3/2 rule: Figure 3: how to perform the 3/3/2 rule (Image modified from UpToDate.com) If the patient has less than the specified measurement of 3, 3, or 2 fingers in these parameters, this is very specific (95%) for having a more difficult intubation (Mahmoodpoor, 2013)–although only about 25% sensitive.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130