AAEM RSA

APRIL 1, 2021

1 The American College of Surgeons’ (ACS) Trauma Quality Improvement Program (TQIP) Massive Transfusion in Trauma Guidelines leave a good amount of flexibility for hospitals regarding transfusion protocols, focusing more on systems-level aspects of designing and implementing MTPs.2,3 ACS TQIP Best Practice Guidelines. 248(3):447-58.

E-9-1-1 52

E-9-1-1 Plasma ACS ALS 52

Dr. Smith's ECG Blog

MARCH 6, 2019

She did not receive any opioids (which would mask her pain without affecting any underlying ACS). Lead I has a definitively hyperacute T-wave without STE. By the time the patient arrived at our facility, she had received aspirin and nitroglycerin, and her pain had apparently completely resolved. V2 still has STE and hyperacute T-waves.

STEMI 52

STEMI ALS ACS ICU 52

EMDocs

SEPTEMBER 25, 2023

Also known as Facilitated intubation (FI), the use of intubating with only a sedative was an accepted alternative intubation technique prior to those definitive studies in the late 1990s but quickly was abandoned for RSI in all emergent endotracheal intubations (ETI) (8,9). References: Heffner AC et al. PMID: 23911630 Kim WY et al.

ED 92

ED Emergency Department ALS Paramedic 92

Don't Forget the Bubbles

MAY 3, 2023

Garabon JJW, Gunz AC, Ali A, Lim R. This explorative review described insertion success rates, time to first insertion, and duration of IO function (time from insertion to IO failure, IV access insertion, transfer to ICU, or death). Prehosp Emerg Care. 2023;27(2):221-226. doi:10.1080/10903127.2022.2072553 What’s it about?

CPR 52

CPR Emergency Department ALS ICU 52

Dr. Smith's ECG Blog

MARCH 11, 2019

The patient was managed in the ICU and had serial troponins. An angiogram confirmed ACS as the etiology. Finally — there has been further evolution of the subtle ST-T wave abnormalities in leads V2, V5 and V6 — which now all show definite ST-T wave flattening in ECG #2. He had no more ECGs recorded. First was 2.9

OR 52

OR ACS ICU STEMI 52

EMDocs

JANUARY 6, 2024

10 Although this is not the same pathophysiology seen in ACS from an acute plaque rupture leading to coronary artery occlusion, patients can have relatively abrupt coronary ischemia causing ACS due to acute, concentric vessel narrowing. 3 Many will experience vague, nonspecific symptoms such as weakness or fatigue.

EMS 89

EMS E-9-1-1 ACS Coronary 89

EMDocs

OCTOBER 7, 2023

6 Prolonged down time from falls, usually in the elderly Incidence is difficult to ascertain due to broad definition and that events that cause crush injuries are rather rare. Goodman AD, Got CJ, Weiss AC. A systematic review on the definition of rhabdomyolysis. Crush syndrome: a case report and review of the literature.

EMS 97

EMS E-9-1-1 Emergency Department ALS 97

EMDocs

FEBRUARY 12, 2024

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). 11) Webb RK, Ralston AC, Runciman WB. proning patients, ECMO) (12). PMID: 11685301. (10) 10) Jubran A. Pulse oximetry. Intensive Care Med. Epub 2004 Jul 24.

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98

Don't Forget the Bubbles

JULY 5, 2023

Haemoglobin electrophoresis: To reach a definitive diagnosis, Hb electrophoresis is used. Opioids do not cause ACS but they can exacerbate hypoxia in patients with ACS. The treatment for ACS is mainly supportive: Oxygen : supplemental oxygen should be given only when the patient is hypoxic (saturation of oxygen < 94%).

E-9-1-1 126

E-9-1-1 ACS OR ICU 126

EMDocs

JANUARY 6, 2025

84 All patients with severe malaria need inpatient admission, ideally to the intensive care unit (ICU). link] Hummell AC, Cummings M. Cholera Case Definitions and Diagnosis.; Severe malaria is typically caused by P. Uncomplicated malaria patients who are able to access prescription medication can be discharged home.

ED 75

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