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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. 2013 Dec;15(4):90-2. Epub 2013 Nov 7. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Acute Card Care. doi: 10.3109/17482941.2013.841949. PMID: 24200150. Bruccoleri RE, Burns MM.

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The Broselow-Luten System

Pediatric EM Morsels

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. PAWPER was more accurate than EPLS (European life support formula) as well. There are other systems that account for body habitus. Broselow does not. of children; PAWPER predicted within 10% for 89.2% Validation study done in Italy. x exp[0.02 x exp[0.02

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Systemic Steroids: An ED Focused Overview

EMDocs

Published 2013 Aug 15. 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces.

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Reference ranges of paediatric heart rate and respiratory rate

Don't Forget the Bubbles

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., 2013 Apr 1;131(4):e1150–7. Paediatric advanced life support Guidelines [Internet]. Pediatrics. Gold DL, Mihalov LK, Cohen DM.

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I smell a pool, we don't have a pool.

FOAMfrat

This is the mechanism that will eventually kill the patient as well with the high concentration (430 ppm+ exposure) Vajner JE 3rd (2013) references several studies on the inhalation of chlorine. Advanced Hazmat Life Support Provider Manual (4th ed.). (F. 2013, 9 9). The Hazmat Medic References Borron, S. Bronstein, A.

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

A retrospective data review of the out-of-hospital cardiac arrest (OHCA) database from 2013-2015 demonstrated statistically significant differences in time from patient contact to administration of epinephrine between IV and IO groups (8.8 One study showed that average time to establish an IV in the prehospital setting was 4.4 minutes). [5]

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The Science on Targeted Temperature Management

ACEP Now

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. N Engl J Med. 2013;369(23):2197-206. N Engl J Med.