Dr. Smith's ECG Blog

JUNE 17, 2024

The patient was upgraded to the ICU for closer monitoring. In fact, Kosuge et al. Stein et al. This is a paper worth reading : Marchik et al. Kosuge et al. Witting et al. This does not contradict the conclusions of Kosuge et al. studied ECG findings of PE in 6049 patients, 354 of whom had PE.

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

REBEL EM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Paper: Owyang CG, et al. 2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU?

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. The TEG group had a shorter ICU length of stay in the first admission. Patients exclusively managed in the ICU which decreases applicability for patients in other locations Very small sample size of 96 patients No definition was provided for exclusion criteria of significant cardiopulmonary disease.

FFP 52

FFP E-9-1-1 ICU ALS 52

EMDocs

FEBRUARY 9, 2024

Source: [link] As you are calling the ICU and cardiology team, the patient has recurrence of her symptoms and repeat ECG shows return of the PVT. Figure 3/ Adapted from Wilde et al. A complete approach to treating cLQTS can be found in Wilde et al 2. You give another 2 g of magnesium IV with termination of the rhythm.

Defibrillator 96

Defibrillator OR ED ALS 96

Emergency Medicine Ireland

JULY 3, 2023

This segues relatively nicely into a section of the document on palliative care. It is important to realise that a referral to ICU for refractory cardiorenal syndrome may simply be a sign that the patient is reaching end of life. Circulation 139, e840–e878 (2019). – Mullens, W., Verbrugge, F. Nijst, P. & & Tang, W.

Critical Care 96

Critical Care ACS OR ALS 96

EMDocs

JANUARY 11, 2024

Digestive Management Takeaway: Start enteral feeds when the patient gets to the ICU. Statements: Initiate EN as soon as possible after ICU admission (100%, 20/20). These conversations should occur frequently and be clearly documented for other health care professionals who are not present during the conversations (96%, 22/23).

Critical Care 97

Critical Care E-9-1-1 OR ICU 97

ACEP Now

MARCH 13, 2024

Consequences of this are well documented and include delayed treatment, exposure to error, increased length of stay, and increased mortality. References Morley, Claire, et al. Kelen GD, Wolfe R, D’Onofrio G, et al. ED crowding impairs this mission. PloS one 13.8 2018):e0203316. Critical care medicine 40.8 2012): 2470-2478.

Emergency Department 52

Emergency Department ED ALS ICU 52

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). References/Further Reading (1) Byrne AL, Bennett M, Chatterji R, Symons R, Pace NL, Thomas PS.

Emergency Department 98

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

AAEM RSA

SEPTEMBER 17, 2020

Thiamine also plays a role in key metabolic processes, including cellular energy production and generation of cellular antioxidants, and thiamine deficiency has been well-documented in sepsis, with observational studies indicating a signal for improved outcomes with supplementation. Marik P, Khangoora V, Rivera R, et al.

ICU 52

ICU E-9-1-1 ALS OR 52

REBEL EM

NOVEMBER 11, 2024

Article: Chanderraj R, Admon AJ, He Y, et al. Reliance on Electronic Health Records Data : As with many retrospective studies, reliance on EHR data for identifying eligible patients and outcomes is prone to inaccuracies, missing data, and variability in clinical documentation practices. In 2021, Buckley et. 3 The same year, Ross et.

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E-9-1-1 ICU ALS Critical Care 113

Don't Forget the Bubbles

JULY 5, 2023

They should be admitted to hospital in case of clinical deterioration to receive ICU treatment. However, there are documented adverse events such as haemorrhagic cerebrovascular accidents or recurrence of VOC after drug withdrawal, which represent a drawback in its regular use. This treatment is usually done in the ICU setting.

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E-9-1-1 ACS OR ICU 126

Core EM

JANUARY 16, 2025

This document will focus on the anatomical considerations and aspiration risk. It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. et al (2022). Baker JB, et al. Blunt, MC, et al.

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E-9-1-1 EMS ALS OR 130

Don't Forget the Bubbles

DECEMBER 9, 2024

See their website for more: [link] References Abu-Sultaneh S, Iyer NP, Fernndez A, et al. Executive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document. 202204-0795SO Amirnovin R, Sanchez-Pinto LN, Okuhara C, et al.

ALS 59

ALS Critical Care OR ICU 59

EMDocs

JANUARY 6, 2025

4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. 84 All patients with severe malaria need inpatient admission, ideally to the intensive care unit (ICU). 57 Adapted from: Long B, MacDonald A, Liang SY, et al.

ED 75

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