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

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

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

ICU 246

ICU Emergency Department Critical Care ALS 246

EMDocs

DECEMBER 18, 2024

2013; 88(9): 589-595. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Alcohol withdrawal syndrome in medical patients. Cleve Clin J Med. 2016; 83(1): 67-79.

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E-9-1-1 Emergency Department ICU ED 105

Core EM

JANUARY 25, 2024

11 Geriatric trauma patients require increased immediate and delayed ICU resources compared to younger counterparts with the same injuries. Int J Emerg Med 2013; 6:12. 12 Anticipate ambulatory needs, assist devices, PT/OT, pain control strategies, and care coordination early as part of disposition planning 12 References: 1.Perdue

ALS 246

ALS ED ICU OR 246

REBEL EM

AUGUST 12, 2024

Contemp Clin Trials. Epub 2022 Aug 28. PMID: 36038001 Levi TM, et al. Comparison of the RIFLE, AKIN and KDIGO criteria to predict mortality in critically ill patients. Rev Bras Ter Intensiva. PMID: 24553510 Iacone R, et al. Macronutrients in Parenteral Nutrition: Amino Acids.

ICU 81

ICU Operating Room Critical Care ALS 81

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 91

ED Emergency Department ALS Paramedic 91

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 109

Defibrillator CPR Epinephrine Life Support 109

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

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 128

ALS ED ACS EMR 128

Dr. Smith's ECG Blog

APRIL 9, 2025

As a result I got to witness first-hand how the incidence of primary VFib appeared to dramatically decrease in our ICU as a result of the new practice at that time of using prophylactic Lidocaine on acute MI patients. This was before thrombolytics gained full use in our admitting hospital.

Defibrillator 63

Defibrillator STEMI ED OR 63

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 97

E-9-1-1 ICU ACS EMS 97

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

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 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

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

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 94

ALS Critical Care ICU Emergency Department 94

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