2022, E-9-1-1 and Plasma - Paramedicine Now

Congenital Syphilis

Pediatric EM Morsels

AUGUST 9, 2024

Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Early Congenital Syphilis Present before 2 years of age [ Hussain, 2023 ; Foles, 2024; Fang, 2022; Morrisroe, 2021 ] Only ~33% of newborns present with symptoms at birth and can be subtle. gross ) Rash Occurs 1-2 weeks after rhinitis. Can identify T.

E-9-1-1

E-9-1-1 Plasma Emergency Department OR

Trauma Resuscitation Updates

REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al.

E-9-1-1

E-9-1-1 Plasma ALS OR

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. Actively oozing.

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

APRIL 10, 2024

1-5] Since then, many more medications have been developed and deployed. Metabolism of ester anesthetics is by plasma cholinesterase, whereas amides are metabolized by the cytochrome P450 system in the liver. [6] 6] Action of local anesthetics is dependent upon the molecule crossing the plasma membrane in a unionized form. [2]

E-9-1-1

E-9-1-1 Plasma Epinephrine Life Support

ToxCard: Diethylene Glycol

EMDocs

SEPTEMBER 7, 2023

1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity? DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. Toxicity typically evolves through three phases: 2,3,7,8,9 Phase 1: Gastrointestinal symptoms (e.g.,

E-9-1-1

E-9-1-1 ALS Plasma Emergency Department

Emergency Department Evaluation of Cholestatic Labs

EMDocs

MARCH 4, 2024

A wide variety of conditions can result in either type of cholestasis (Figure 1). 1 Extrahepatic obstruction is due to mechanical obstruction occurring downstream of the hepatic ducts such as pancreatic disease, gallstone obstruction of the common bile duct, and cancer. 9 How are cholestatic labs defined?

Emergency Department

Emergency Department E-9-1-1 ALS OR

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

This was based on studies that demonstrated qSOFA was more specific but less sensitive than its counterparts (Table 1). 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

E-9-1-1

E-9-1-1 ALS Emergency Department Plasma

ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

JANUARY 22, 2025

1 Most heroin in the United States actually contains fentanyl and fentanyl analogs. Naloxone reverses the analgesic, respiratory, sedative , and miotic e ffects of opioids. 6 Image 1: Structure of naloxone. Published 2023 Sep 1. doi:10.15585/mmwr.mm7235a3 Park JN, Rashidi E, Foti K, Zoorob M, Sherman S, Alexander GC.

Naloxone

Naloxone E-9-1-1 Overdose NARCAN

Systemic Lupus Erythematosus: ED presentations, evaluation, and management

EMDocs

FEBRUARY 3, 2025

Although these autoantibodies may be present in a variety of individuals, the development of clinical disease is thought to require exposure to an environmental risk factor such as certain viruses, cigarette smoke or other environmental toxins (1). million have been diagnosed with lupus, with 90% of cases occurring in females (1).

ED

ED E-9-1-1 ALS OR

The Basics of Dexmedetomidine

Don't Forget the Bubbles

MARCH 24, 2025

While no paediatric studies have confirmed this, the DICE trial ( D exmedetomidine in I nfants undergoing C ooling for Neonatal E ncephalopathy) is underway. Later phase : As plasma levels fall, vasoconstriction decreases. 2014;55(1):209-215. 2023;23(1):341. Treasure Island (FL): StatPearls Publishing; May 1, 2023.

E-9-1-1

E-9-1-1 Emergency Department ALS Critical Care

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Introduction Airway management is a critical ED skill to master. Figure 7: (modified from Tanoubi 2009).

E-9-1-1

E-9-1-1 EMS ALS OR

EM@3AM: CSF Leak

EMDocs

FEBRUARY 22, 2025

Answer : CSF Leak Epidemiology: CSF leaks are broken into three main causes Craniofacial trauma: approximately 80% of cases 1 3% of blunt head and 9% of penetrating head trauma patients have CSF leaks Basilar skull fractures commonly occur with CSF leaks (up to 30%) Iatrogenic: approximately 16% of cases 1 3.8% Epub 2021 Sep 9.

EMS

EMS E-9-1-1 Plasma OR

EM@3AM: Neurosyphilis

EMDocs

NOVEMBER 2, 2024

Answer : Neurosyphilis Introduction Neurosyphilis is a clinical manifestation of syphilis, a rapidly disseminating sexually transmitted infection caused by the spirochete Treponema pallidum, and humans are the only known host [1] Neuroinvasion by the treponeme may occur in the days following primary infection and is often asymptomatic.

EMS

EMS E-9-1-1 Plasma ALS

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. g/dL, thrombocytopenia of 96 10 9 /L, prothrombin time (PT) of 16.1 Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 1 By the end of 2023, 117.3 seconds (normal 30-40 seconds), creatinine of 3.11

ED

ED E-9-1-1 ALS Emergency Department

Paramedicine Now

Congenital Syphilis

Trauma Resuscitation Updates

Trending Sources

Penetrating chest trauma

ToxCard: Local Anesthetic Systemic Toxicity

ToxCard: Diethylene Glycol

Emergency Department Evaluation of Cholestatic Labs

Sepsis Updates Relevant to the Emergency Physician

ToxCard: Naloxone – Pearls and Pitfalls

Systemic Lupus Erythematosus: ED presentations, evaluation, and management

The Basics of Dexmedetomidine

An EM Resident’s Guide to Basic Airway Management

EM@3AM: CSF Leak

EM@3AM: Neurosyphilis

ED care of refugee populations from sub-Saharan Africa

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