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The Broselow-Luten System

Pediatric EM Morsels

PAWPER was more accurate than EPLS (European life support formula) as well. Britnell 2015] Broselow tape performed better than APLS method in Chinese children. Khouli 2015] In South Sudan, the Broselow system overestimated weight by 26.6% link] Lubitz DS, Seidel JS, Chameides L, Luten RC, Zaritsky AL, Campbell FW.

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. JAMA 2009 * Jacobs et al. Resuscitation 2011 * Hagihara et al.

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SGEM#243: Enough is Enough (O2 Saturation of 94-96%)

The Skeptics' Guide to EM

Date: January 28th, 2019 Reference: Chu DK et al. Date: January 28th, 2019 Reference: Chu DK et al. In the 2015 AVOID study there was some suggestion of increased MI size in the group of STEMI patients that received oxygen at 8 L/min compared to a room air control group. Reference: Chu DK et al. The Lancet 2018.

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Hypothermia and drowning

Don't Forget the Bubbles

Mazur P, Kosinski S, Podsiadlo P, et al.: Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. Meert et al. 20 (2015): 1898-1908 As the PICU reg finishes their teaching and prescribes some warm IV fluids, Elsa’s sats drop to 54%.

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EM@3AM: Amniotic Fluid Embolism

EMDocs

Treatment is supportive with respiratory therapy, critical care, inotropic therapy, and cardiac life support. 2015 May;28(7):793-8. If AFE occurs during labor, immediate delivery is recommended. ” Am J Obstet Gynecol 201(5): 445 e441-413. link] Fong A, Chau CT, Pan D, Ogunyemi DA. J Matern Fetal Neonatal Med.

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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 1] Table from Hamam et al. 9] Figure from Clemency et al. minutes versus 5.4 minutes). [5]

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