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The Broselow-Luten System

Pediatric EM Morsels

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. PAWPER was more accurate than EPLS (European life support formula) as well. Recommended by ATLS and PALS. x exp[0.02

E-9-1-1 271
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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

2022 Jun;56:394.e1-394.e4. Epub 2022 Mar 9. Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Am J Emerg Med. doi: 10.1016/j.ajem.2022.03.006. 2022.03.006.

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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

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. Poisoning & Drug Overdose. McGraw Hill; 2022.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. Vallentin, Povlsen, Granfeldt, Terkelsen, & Andersen, 2022).

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

2022 Nov 6 PMID: 36342151 Clinical Question: How does double defibrillation and vector change defibrillation compare to standard therapy in OHCA patients with refractory ventricular fibrillation? 2022 Nov 6 PMID: 36342151 Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. N Engl J Med.

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). What are the treatment options for a benzonatate overdose? Management: The mainstay of treatment of benzonatate overdose is supportive and symptomatic care. How quickly can morbidity occur with benzonatate?

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

In our case, the patient had accidentally overdosed on drugs prior to being found. Accessed December 4, 2022 Swol, Justyna; Darocha, Tomasz; Paal, Peter; Brugger, Hermann; Podsiadło, Paweł; Kosiński, Sylweriusz; Puślecki, Mateusz; Ligowski, Marcin; Pasquier, Mathieu. Published 2022 Jan 3. doi: 10.1097/MAT.0000000000001518