EMDocs

SEPTEMBER 7, 2023

DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. 2 Laboratory assays for DEG are not widely available and have long turn-around-times, thus have limited utility in diagnosis in the emergency department. Accessed August 2022. McGraw Hill, 2019.

E-9-1-1 94

E-9-1-1 ALS Plasma Emergency Department 94

FOAMfrat

SEPTEMBER 19, 2024

Along with inducing coagulopathy, venom toxins may contribute to local and/or systemic hemorrhage and plasma extravasation by means of basement membrane degradation within the vasculature. Rattlesnake Envenomation Treatment & Management: Prehospital Care, Emergency Department Care, Consultations.” Accessed 10 July 2024.

Emergency Department 95

Emergency Department Epinephrine OR Plasma 95

Don't Forget the Bubbles

AUGUST 12, 2024

What neuroprotective measures can we undertake in the emergency department? Neuroprotective measures are undertaken in the emergency department and PICU to optimise intracerebral conditions, minimise secondary brain injury, and create optimal tissue healing conditions. Published 2022 Nov 20. Published 2022 Mar 1.

ALS 75

ALS Emergency Department Plasma OR 75

ACEP Now

APRIL 5, 2024

2 TTP often presents abruptly, and most patients that develop it first visit the emergency department (ED) as their symptoms worsen. It is thus imperative that emergency physicians be able to recognize and properly treat this disease, especially in the absence of its classical presentation. 1 Dr. J Emerg Med.

Frozen Plasma 40

Frozen Plasma Plasma Emergency Department FFP 40

Don't Forget the Bubbles

OCTOBER 28, 2024

doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Major haemorrhage protocols typically include a mixture of packed red blood cells (pRBCs), platelets, and fresh frozen plasma (FFP). Am J Emerg Med. Published 2022 May 4. 2021;49:404-405.

Frozen Plasma 72

Frozen Plasma FFP Plasma ALS 72

EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. The first was the suggestion to use balanced crystalloid fluids, such as lactated ringers or plasma-lyte, instead of normal saline. Intensive Care Med. 2021;47:1181–1247. 2021;57(9):920.

E-9-1-1 93

E-9-1-1 ALS Emergency Department Plasma 93

EMDocs

JUNE 3, 2023

Institutional protocols should be utilized, keeping in mind that either whole blood or a 1:1:1 ratio of packed red blood cells, platelets, and fresh frozen plasma are optimal. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e. Published November 8, 2022. Scand J Trauma Resusc Emerg Med. 2016;24:73.

ED 66

ED Operating Room ALS Frozen Plasma 66

ACEP Now

FEBRUARY 11, 2025

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. 2022 Annual Report of the National Poison Data System (NPDS) from Americas Poison Centers: 40th Annual Report. Am J Health Syst Pharm.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

EMDocs

JANUARY 22, 2025

Is there an ideal observation period in the emergency department after reversal with naloxone? Profound increase in epinephrine concentration in plasma and cardiovascular stimulation after mu-opioid receptor blockade in opioid-addicted patients during barbiturate-induced anesthesia for acute detoxification. Acad Emerg Med.

Naloxone 97

Naloxone E-9-1-1 Overdose NARCAN 97

Don't Forget the Bubbles

MARCH 24, 2025

Later phase : As plasma levels fall, vasoconstriction decreases. A recent REPEM survey across Europe found that up to 10% of Emergency Departments use Dexmed for procedural sedation in children. Dexmed is not widely used in the emergency department but may have future roles in paediatric procedural sedation.

E-9-1-1 59

E-9-1-1 Emergency Department ALS Critical Care 59

EMDocs

FEBRUARY 3, 2025

Treatment requiresaggressive anticoagulation, glucocorticoids, plasma exchange, and intravenous immunoglobulin (IVIG)(27). Published 2022 Feb 1. She also reports a fever (maximum 101F), photosensitivity, and mild abdominal discomfort radiating to both flanks, accompanied by some shortness of breath. Li H, Zheng Y, Chen L, Lin S.

ED 71

ED E-9-1-1 ALS OR 71

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. Published online November 14, 2022. Published online June 1, 2022. Rehydration Therapy.

ED 111

ED ALS OR Plasma 111

Core EM

JANUARY 16, 2025

This graph shows the gaseous equivalent volume of oxygen stored in the lungs, bound to hemoglobin, and dissolved in the plasma for people breathing room air (far left) vs the same people pre-oxygenated by breathing 100% O2 (far right), and then after they have desatted to 90% while apneic (center). et al (2022). Apfelbaum, J.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130

EMDocs

JANUARY 6, 2025

Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 Global Trends Report 2022. Published online November 14, 2022. Published online November 14, 2022. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. 1 By the end of 2023, 117.3

ED 75

ED E-9-1-1 ALS Emergency Department 75