Core EM

JANUARY 25, 2024

1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED. Published June 2020. Door-to-block time: prioritizing acute pain management for femoral fractures in the ED. J Emerg Trauma Shock. 2012;5(1):28-32. doi:10.4103/0974-2700.93107 [2] Nagdev A.

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Epinephrine ED OR Emergency Department 246

REBEL EM

JANUARY 23, 2023

Ann Emerg Med 2020. Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04 Anecdotally, the persistence of urticaria often has little influence on the decision to discharge a patient from the ED.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was administered thrombolytics and shortly after the lytics were administered, the systolic blood pressure rose to about 80mmHg with ongoing epinephrine infusion. Those who make it to the ED usually have transient occlusions with reperfusion. Thrombolytics can be life saving in this situation.

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Coronary ACS Emergency Department Defibrillator 125

ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Out-of-hospital cardiac arrest is a commonly encountered entity in U.S.

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Defibrillator OR ALS Epinephrine 98

The Overrun Podcast

MARCH 28, 2021

Ed and Dan sit down with Dr. Peter Antevy and talk about how we can do better with pediatric arrests. For most places in EMS, how we treat cardiac arrests in adults is drastically different than how we do it in pediatric patients. And the results show it.

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Epinephrine Paramedic ED EMS 52

EMDocs

OCTOBER 19, 2024

2][3] Bacterial tracheitis should be suspected over croup if nebulized racemic epinephrine or steroids do not improve the clinical course. [2][3][8] A 6-year-old girl presents to the ED with 1 day of fevers up to 104.1°F Published 2020. 2] Suggested antibiotics include: ceftriaxone or cefotaxime + vancomycin or clindamycin.

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EMS E-9-1-1 Epinephrine OR 86

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. 2020 ACC expert consensus decision pathway on management of bleeding in patients on oral anticoagulants: A report of the American College of Cardiology solution set oversight committee.

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E-9-1-1 ALS Emergency Department OR 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

This is a 30-something healthy patient presented with COVID pneumonia who presented to the ED. He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. JAMA Cardiol [Internet] 2020;Available from: [link] 4. He was moderately hypoxic.

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E-9-1-1 STEMI Coronary ALS 52

Dr. Smith's ECG Blog

APRIL 29, 2020

She was given 3 mg IV epinephrine and multiple rounds of ACLS over approximately 20 minutes. I was texted this ECG in real time, but it turns out to actually be the 2nd one recorded in the ED. ECG #4 — This is the 3rd ECG that was done in this case ( obtained ~1 hour after arrival in the ED ). She was never defibrillated.

Defibrillator 52

Defibrillator Epinephrine Coronary Overdose 52

Dr. Smith's ECG Blog

JANUARY 19, 2020

On arrival in the ED, she was profoundly hypotensive, nearly obtunded, and bradycardic. At about 30 minutes after presentation, the patient had acceptable vital signs with the TVP and low dose epinephrine drip. The ED team again pointed out the evidence of inferoposterior OMI, this time by the modified Sgarbossa criteria.

E-9-1-1 52

E-9-1-1 STEMI ED EMS 52

EMDocs

JANUARY 4, 2024

In 2020, bupropion was the 18 th most-prescribed medication in the USA. Other Norepinephrine or epinephrine are preferred vasopressors when needed. References: The Top 200 Drugs of 2020. Eds (2017). How long should a patient be observed after a bupropion overdose? Consider lidocaine for associated dysrhythmias.

Overdose 65

Overdose E-9-1-1 ALS Emergency Department 65

EMDocs

JANUARY 20, 2024

Prior to this intervention, management in the ED is mainly supportive of the patient’s hemodynamic and cardiac status. 2020 Apr;7(2):400-406. 2020 Jan 3;12(1):e6556. Available from: [link] Keramida K, Backs J, Bossone E, Citro R, Dawson D, Omerovic E, Parodi G, Schneider B, Ghadri JR, Van Laake LW, Lyon AR. ESC Heart Fail.

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E-9-1-1 EMS Coronary ACS 74