Remove 2023 Remove Emergency Department Remove Epinephrine
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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. Soak the gauze with epinephrine (1:10,000) or TXA (our THIRD route of administration) Apply pressure laterally to the tonsillar fossa with the gauze covered Magill forceps. 2023 Aug;171:111644. Epub 2023 Jul 6. 2023.111644.

E-9-1-1 286
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The Broselow-Luten System

Pediatric EM Morsels

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Available at: [link] (Accessed: 26 October 2023). Available at: [link] (Accessed: 27 October 2023).

E-9-1-1 269
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ACMT Toxicology Visual Pearl: Needle to Necrosis

ALiEM

Xylazine is an alpha-2 agonist similar to clonidine that inhibits the release of norepinephrine and epinephrine resulting in decreased vascular tone and heart rate [4]. Published May 2023. Published 2023 Mar 29. 2023 Jun 15;388(24):2209-2212. Epub 2023 Apr 26. Published 2023 June 30. 2023 Mar;61(3):173-180.

Naloxone 169
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SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Case: A 6-month-old boy presents to […] The post SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

CPR 130
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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. Ong MEH, Chan YH, Oh JJ, et al.

ALS 105
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First10EM Journal Club: April 2023

Broome Docs

2023 Jan 21. Am J Emerg Med. 2023 Feb;64:206.e1-206.e3. 2023 Jan 30. A prospective cluster-randomized trial to implement the Canadian CT Head Rule in emergency departments. 2023 Jan 13;76(2):185-191. 2023 Feb 03;: PMID: 36367144 Justin’s excellent critical appraisal and Full write up here.

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See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

The patient was rushed to the nearest emergency department (non-PCI facility) for stabilization. On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion. The below ECG (ECG #4) was recorded.

Coronary 127