REBEL EM

APRIL 22, 2024

Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without life support in COVID-19. This data supports current practice of targeting a lower O2 sat. Advanced interventions include proning (both on NIV and IMV) and extracorporeal mechanical oxygenation (ECMO).

Life Support 75

Life Support ICU EMS OR 75

The Skeptics' Guide to EM

FEBRUARY 2, 2019

Date: January 28th, 2019 Reference: Chu DK et al. Date: January 28th, 2019 Reference: Chu DK et al. Reference: Chu DK et al. Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. The Lancet 2018. The Lancet 2018.

Life Support 130

Life Support ALS STEMI Emergency Department 130

Don't Forget the Bubbles

JUNE 30, 2023

Mazur P, Kosinski S, Podsiadlo P, et al.: Ann Cardiothorac Surg 2019; 8:137–142 But Elsa’s temperature is 30.1⁰C. Extracorporeal life support rewarming rate is associated with survival with good neurological outcome in accidental hypothermia. Meert et al. Ann Cardiothorac Surg 2019; 8:137–142 Saczkowski, R.,

CPR 145

CPR Life Support Critical Care ALS 145

EMDocs

JUNE 22, 2024

Treatment is supportive with respiratory therapy, critical care, inotropic therapy, and cardiac life support. If AFE occurs during labor, immediate delivery is recommended. ” Obstet Gynecol 123(2 Pt 1): 337-348. link] Society for Maternal-Fetal Medicine. Electronic address, p. ” Am J Obstet Gynecol 215(2): B16-24.

EMS 96

EMS Ambulance FFP ICU 96

REBEL EM

MARCH 13, 2023

Article : Vianen NJ et al. The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. References: Grasner JT, et al. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. PMID: 16128477 Tran A, et al.

Advanced Life Support 52

Advanced Life Support Life Support E-9-1-1 EMS 52

ACEP Now

APRIL 3, 2024

3,4 The Hyperion trial in 2019 demonstrated that TTM at 33 degrees Celsius was efficacious for non-shockable rhythms, reinforcing the guidelines recommendation for post-arrest TTM. In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Nielsen N, Wetterslev J, et al.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

EMDocs

AUGUST 22, 2023

PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 26821648 Hemnes AR, Newman AL, Rosenbaum B, et al. Ann Emerg Med. 2017;70(5):758. Circulation. 2019;140(24):e881-e894. BMC Emerg Med.

Emergency Department 68

Emergency Department ALS Life Support OR 68

EMDocs

JANUARY 16, 2024

Carsten L, et al. Higher Survival Chances of Hypothermic vs. Normothermic cardiac arrest patients with ECLS re-warming, Resuscitation, Volume 134, 2019, Pages 161-162, ISSN 0300-9572. Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest—A Narrative Review. Monika BM, Martin D, Balthasar E, et al.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

EMDocs

APRIL 10, 2024

Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. For patients who in cardiac arrest standard Advanced Cardiac Life Support (ACLS) should be initiated. McGraw Hill Companies, Inc; 2019. 2022;59:42-48. BMJ Case Rep.

E-9-1-1 93

E-9-1-1 Plasma Epinephrine Life Support 93

NAEMSP

JANUARY 5, 2023

al answered this question with a prospective observational study which showed a significantly shorter time interval to obtain tibial IO access (4.6 al confirmed that injection of a radionuclide tracer injected intraosseously reaches central circulation within a time comparable to that of intravenous injection. [7] minutes versus 5.4

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) 9) In 2019, benzonatate accounted for ~ 10% of all pediatric antitussive prescriptions dispensed via retail pharmacies. (9) Vet Hum Toxicol.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

REBEL EM

FEBRUARY 2, 2023

Based on 2019 American Heart Association (AHA) guidelines, amiodarone and digoxin have been suggested as alternative options in controlling ventricular rate refractory to first-line BBs and non-DHP CCBs. Paper: Mason JM, et al. These results were corroborated with other another study by Gritensko et al. Am J Emerg Med.

Emergency Department 52

Emergency Department ALS Critical Care ED 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) 3–8 Shi et al. Sandoval Y, Smith SW, Sexter A, et al. Shi S, Qin M, Shen B, et al. Guo T, Fan Y, Chen M, et al. Lala A, Johnson KW, Russak AJ, et al.

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Rituparna et al — as well as Chauhan and Brahma ( Int. A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation.

CPR 52

CPR Defibrillator Life Support ED 52

EMDocs

APRIL 22, 2024

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Alerhand et al described ten individual echocardiographic findings of RV strain that suggest PE. Available from: [link] Meneveau, Nicolas, et al. 2019 Oct-Dec;29(4):169-171.

ED 81

ED NARCAN ALS OR 81

The Skeptics' Guide to EM

SEPTEMBER 7, 2019

Date: September 5th, 2019 Reference: Dalziel et al. The Lancet May 2019 Guest Skeptic: Dr. Tessa Davis is a Paediatrician specializing in Paediatric Emergency Medicine and currently practicing at the Royal London Hospitals. Date: September 5th, 2019 Reference: Dalziel et al. Reference: Dalziel et al.

Advanced Life Support 130

Advanced Life Support Life Support Emergency Department ALS 130

EMDocs

JULY 3, 2023

2019 Mar;123:184-187. Avest E, Taylor S, Wilson M, et al. Emergency Neurological Life Support: Intracranial Hypertension and Herniation. 2019 Sep;17(5):378-384. Dubosh NM, Bellolio MF, Rabinstein AA, et al. 2019 Mar;20(2):203-211. Bakr A, Silva D, Cramb R, et al. 2019 Oct;32(5):568-573.

ED 85

ED E-9-1-1 ALS OR 85