REBEL EM

FEBRUARY 2, 2023

2 Amiodarone is commonly known for its anti-arrhythmic properties and a commonly used agent in the Intensive Care Unit (ICU). This could have biased the results in favor of amiodarone as we’ve covered this before on REBEL EM before The IV amiodarone group required less additional HR control agents to control increased heart rate.

Emergency Department 52

Emergency Department ALS Critical Care ED 52

REBEL EM

JULY 14, 2022

An example using a real case I had while on call in the ICU: A 61-year-old female had a post-induction arrest on the wards/hospital telemetry floor after being intubated for airway protection. PMID: 30060961 Koller AC, et al. In a PCAC 1 or 2, we may prioritize a cath and tolerate a couple hours without ICU Neuroresuscitation.

ICU 52

ICU ALS OR CPR 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). If for some reason the angiogram is delayed, they should receive maximal medical therapy in an ICU setting with continuous 12-lead ST segment monitoring under the close attention of a practitioner with advanced ECG interpretation training.

STEMI 52

STEMI ALS ACS ICU 52

Dr. Smith's ECG Blog

APRIL 20, 2018

This post was written by Tarissa Lai, one of our outstanding EM residents at Hennepin County Medical Center, with comments by Steve Smith and Dan Lee. female with HTN, HLD, diabetes, ESRD on dialysis is brought in by EMS with sudden onset, left -sided chest pain for the past four hours. Case A 30 something y.o.

Coronary 40

Coronary STEMI EMS ACS 40

ACEP Now

NOVEMBER 14, 2023

Bourke Tillmann and Scott Weingart for their expertise on the EM Cases podcast that inspired this column. References Deshwal H, Sinha A, Mehta AC. Portable chest X-ray may help determine from which lung the bleeding originates. A special thanks to Drs. Dr. Helman is an emergency physician at North York General Hospital in Toronto.

E-9-1-1 52

E-9-1-1 ALS Emergency Department Epinephrine 52

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ DOI: Papudesi BN, Malayala SV, Regina AC. They report insufflating ‘a bundle’ of tranq dope per day.

E-9-1-1 161

E-9-1-1 Naloxone Emergency Department ALS 161

EMDocs

JANUARY 6, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University School of Medicine, St. Louis, MO); Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine, St. We’ll keep it short, while you keep that EM brain sharp. A 64-year-old male presents by EMS to the ED with shortness of breath.

EMS 88

EMS E-9-1-1 ACS Coronary 88

EMDocs

OCTOBER 7, 2023

We’ll keep it short, while you keep that EM brain sharp. A 17-year-old girl, in moderate distress, is brought in by EMS after a motor vehicle collision. EMS reports that she was “pinned” underneath the dashboard, and it took several hours to extricate her. Goodman AD, Got CJ, Weiss AC. Critical Care. 2016;20(1):135.

EMS 97

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

EMDocs

FEBRUARY 12, 2024

Authors: Rachel Kelly, MD ( EM Resident Physician, Stony Brook University Hospital); Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 11) Webb RK, Ralston AC, Runciman WB. PMID: 11685301. (10) 10) Jubran A.

Emergency Department 98

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

Don't Forget the Bubbles

MAY 3, 2023

Garabon JJW, Gunz AC, Ali A, Lim R. EMS Use and Success Rates of Intraosseous Infusion for Pediatric Resuscitations: A Large Regional Health System Experience. Clinically Relevant Bottom Line : Paediatric IO insertion is a potentially life-saving prehospital intervention that merits bespoke training for EMS personnel.

CPR 52

CPR Emergency Department ALS ICU 52

EMDocs

JUNE 27, 2024

Sundd P, Gladwin MT, Novelli EM. Chinawa JM, Ubesie AC, Chukwu BF, Ikefuna AN, Emodi IJ. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4 Annu Rev Pathol.

E-9-1-1 97

E-9-1-1 ICU ACS EMS 97

EMDocs

JUNE 7, 2023

Disposition is often admission to an intensive care unit (ICU) setting. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. 12784 Povey AC, Rees HG, Thompson JP, Watkins G, Stocks SJ, Karalliedde L. Airway management should not be delayed. Toxicology.

E-9-1-1 98

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

REBEL EM

DECEMBER 23, 2024

Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. The characteristics that were significantly different between the LR and NS exposure groups race, organ dysfunction at presentation, ICU admission, hemoglobin SS genotype, discharge year, and hydroxyurea use were appropriately included as confounders in the TMLE analysis.

ALS 124

ALS ED ACS EMR 124

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. Severe malaria is typically caused by P. Uncomplicated malaria patients who are able to access prescription medication can be discharged home. Accessed October 5, 2024. Accessed October 5, 2024.

ED 75

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