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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% Validation study done in Italy. in malnourished children and by 16.6% x exp[0.02

E-9-1-1 268
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BLS and ACLS Updates 2015 - The Malaysian Perspective

K.S. Chew

A talk that I presented during the Kelantan Resuscitation Updates 2015 (22 Nov 2015) based on the new AHA/ILCOR guidelines. Basically however, there are no major changes in this year 2015 updates.

BLS 52
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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. 2015 Oct;33(10):1542.e1-2. PMID: 17448102. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150.

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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine.

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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

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. She has a history of hypertension and non-insulin dependent diabetes mellitus. She arrives in the emergency department (ED) with decreased level of consciousness and shock.

EMR 130
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Hypothermia and drowning

Don't Forget the Bubbles

Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. 20 (2015): 1898-1908 As the PICU reg finishes their teaching and prescribes some warm IV fluids, Elsa’s sats drop to 54%. The “sweet spot” is between 0.5-2⁰C 2⁰C an hour, so aim for the median of 1.2⁰C/hr.

CPR 145
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SGEM#243: Enough is Enough (O2 Saturation of 94-96%)

The Skeptics' Guide to EM

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. This study expands upon that investigation to patients with other conditions as well. .