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Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. Resuscitation 2023. Resuscitation 2023.
Reference: Jansen et al. 2023 Date: June 10, 2024 Guest Skeptic: Dr. Rob Leeper is an intensivist, trauma surgeon, and general surgeon at Western University where he also serves as the director of the Royal College Surgical Foundations program. You wonder what the evidence is for this additional approach.
If they are not already there, get ALS-level care to the patient as soon as possible. According to the CDC (Centers for Disease Control, 2023) some respiratory exposures can result in the long-term development of “reactive airway dysfunction syndrome (RADS)” This is a type of chemical induced asthma and is a life-long condition.
Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without lifesupport in COVID-19. This data supports current practice of targeting a lower O2 sat. As therapies are escalated, it’s critical for clinicians to have high-quality data on target oxygen levels.
8 The 2023 Pediatric Advanced LifeSupport (PALS) guidelines recommend the following formulas for ET tubes. Kerrey BT, Rinderknecht AS, Geis GL, et al. Rinderknecht AS, Mittiga MR, Meinzen‐Derr J, et al. Bertrand P, Navarro H, Caussade S, et al. Peyton J, Park R, Staffa SJ, et al. PALS Algorithms 2024.
Several recent studies yield insights into this hypothesis: In a single site retrospective cohort study, Callaway et al demonstrated that TTM efficacy may be impacted by arrest severity.10 In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Nielsen N, Wetterslev J, et al.
However, therapeutic hypothermia is supported for controlling intracranial pressure. A 2024 consensus guideline on TBI management in adults recommends therapeutic hypothermia for the management of raised ICP when other treatments have failed to control ICP. Kochanek et al. The guidelines by Kochanek et al.
This could range from basic lifesupport, typically managed by EMTs, to more advanced lifesupport provided by paramedics and other medical specialists. EMTs, for example, are trained in basic lifesupport, while paramedics receive more advanced training, including in pharmacology, cardiology, and trauma care.
Advanced cardiac lifesupport (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Alerhand et al described ten individual echocardiographic findings of RV strain that suggest PE. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. 10,11 Vid 1.
Available at: [link] Advanced LifeSupport Group. Advanced Paediatric LifeSupport (S. General Medical Council. Confidentiality: Reporting Gunshot and Knife Wounds. link] Faculty of Forensic and Legal Medicine. Guidelines for clinical management of non-fatal strangulation in acute and emergency care services.
The Pertussis Outbreak of 2024 The UK experienced a major outbreak of Pertussis in 2024. According to the latest available data from the UK Health Security Agency, 14,453 laboratory-confirmed cases of Pertussis were reported in England between January and October 2024, compared to just 856 confirmed cases throughout 2023.
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