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Systemic Steroids: An ED Focused Overview

EMDocs

Adrenal crisis is a rare but life-threatening manifestation of adrenal insufficiency that is precipitated by abrupt steroid cessation after chronic use. References 1) Liu D, Ahmet A, Ward L, et al. Treasure Island (FL): StatPearls Publishing; July 26, 2022. 6) Wyckoff MH, Greif R, Morley PT, et al. 2013;9(1):30.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). Their response was so enthusiastic that the Red Cross expanded its offerings.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., risk ratio >1) was 4% for ROSC, 6% for 30 day survival, and 4% for survival with a favorable neurologic outcome at 30 days (Vallentin, et al.,

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

Article : Vianen NJ et al. 2022 Aug;48(4):3357-3372. Epub 2022 Mar 25. 2022 May 5. The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. References: Grasner JT, et al. PMID: 16128477 Tran A, et al. 2011;15(6):276.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. Since 2022, NFS has become a specific crime in its own right, separate from assault. Available at: [link] Advanced Life Support Group.

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