REBEL EM

NOVEMBER 30, 2023

Article: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Secondary Outcomes: Delayed hypotension, increased ICU stay, and other relevant outcomes. References: Vaeli Zadeh A, Wong A, Crawford AC, Collado E, Larned JM. Outcomes: Primary Outcome: In-hospital mortality. 2.89, p = 0.01.

E-9-1-1 121

E-9-1-1 ALS ACS ICU 121

Dr. Smith's ECG Blog

JUNE 17, 2024

If this EKG were handed to you to screen from triage without any clinical information, what would you think? The patient was upgraded to the ICU for closer monitoring. showed that , when T-waves are inverted in precordial leads, if they are also inverted in lead III and V1, then pulmonary embolism is far more likely than ACS.

E-9-1-1 138

E-9-1-1 ACS Emergency Department Coronary 138

REBEL EM

JULY 14, 2022

Background Information: Multiple illness severity scores have been developed for use after out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). Unfortunately, these rely on information that is not immediately available to providers in the early hours following return of spontaneous circulation (ROSC).

ICU 52

ICU ALS OR CPR 52

ACEP Now

MAY 9, 2024

After developing encephalopathy and hypoxemic respiratory failure, the patient was transferred to the ICU. Further diagnostic testing in the ICU identified salicylate toxicity. Other examples included patients transferred between services whose failure to include complete handover information led to other delays in care.

Emergency Department 52

Emergency Department ICU ALS ACS 52

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. VBGs have been found to correlate well with ABGs, but caution should be used in the extremes of hemodynamic instability.

Emergency Department 98

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

REBEL EM

DECEMBER 23, 2024

Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. Volume of initial Resuscitation: As acknowledged by the authors, this study does not inform the best volume of early fluid resuscitation to provide, nor should the heterogeneity analysis be interpreted to suggest that a higher volume of fluid resuscitation is better.

ALS 129

ALS ED ACS EMR 129

Don't Forget the Bubbles

JULY 5, 2023

Opioids do not cause ACS but they can exacerbate hypoxia in patients with ACS. Older children and adults usually present with ACS 2-3 days after hospitalisation due to pulmonary infarction (in situ sickling), hypoventilation due to rib infarction (which may be exacerbated by recent narcotic administration) or fat embolism.

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). It is critical to ensure that clinicians communicate with patients in their native language in order to obtain accurate information and maximize building a trusting relationship. link] Hummell AC, Cummings M. 2022;37(1):41-49.

ED 75

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