The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. However, cardiac arrest is something we regularly treat in the emergency department, and we need more high-quality data to inform our care.

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EMDocs

JANUARY 16, 2024

For more information, please check out this excellent prior post on Hypothermia and Drowning Pearls: [link] For more hypothermia cases, please visit the following EM@3AM links: [link] [link] References: Headdon WG, Wilson PM, Dalton HR. Carsten L, et al. Monika BM, Martin D, Balthasar E, et al. 2009;338:b2085. Resuscitation.

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EMDocs

AUGUST 22, 2023

PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 28395927 Panchal AR, Berg KM, Hirsch KG, et al. PMID: 26821648 Hemnes AR, Newman AL, Rosenbaum B, et al. Ann Emerg Med. 2017;70(5):758. Circulation. 2019;140(24):e881-e894. BMC Emerg Med.

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FOAMfrat

JULY 3, 2024

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.

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FOAMfrat

MAY 17, 2024

For more information on how an oxygenator works, check out the first blog in the MCS Series "SWEEP"! Extracorporeal Life Support: The Elso Red Book. Extracorporeal Life Support Organization, 2023. Oxygen and CO2 move freely across this membrane while blood remains in the appropriate channels. Lich, Bryan V.,

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EMDocs

APRIL 10, 2024

While not specifically reviewed in this post, check out the methemoglobinemia tox card for more information about one of the other known events that can occur with local anesthetic administration. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive.

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Irish College of Paramedics

SEPTEMBER 26, 2018

Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades. 2000, Stiell et al.

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EMDocs

APRIL 22, 2024

Advanced cardiac life support (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. The Accu-Chek was 214, and there was no response to empiric Narcan administration.

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EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). Kim I, Goulding M, Tian F, Karami S, Pham T, Cheng C, et al. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Vet Hum Toxicol.

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FOAMfrat

OCTOBER 28, 2023

If you are familiar with this concept, I hope to detail some concepts and perhaps convey some new information. My contact information is at the bottom of the blog! Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. MacLaren G., In: 5th edition.

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REBEL EM

FEBRUARY 2, 2023

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Paper: Mason JM, et al. These results were corroborated with other another study by Gritensko et al. References Mason JM, et al. Am J Emerg Med. Am J Emerg Med.

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AAEM RSA

AUGUST 27, 2020

Nielsen N, Wetterslev J, Cronberg T et al. By the time of the study by Nielsen et al. For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Kirkegaard H, Soreide E, de Haas, I et al.

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REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. REFERENCES: Cheskes S, et al.

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EMT Training Station

MARCH 24, 2023

ALS Standby: The Advanced Life Support (ALS) standby model involves having a dedicated EMS unit with paramedics or EMTs trained in advanced life support positioned nearby during tactical operations. Further TEMS Information This is a list of links for more information on becoming a Tactical EMS Provider.

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EMDocs

JANUARY 11, 2024

Evaluate and treat seizures or SE after CA in the context of other available clinical information because other systemic factors may influence the occurrence of seizures or SE and the effectiveness of treatment (90%, 18/20). Reference: Hirsch KG, Abella BS, Amorim E, et al; American Heart Association, Neurocritical Care Society.

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Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) 3–8 Shi et al. Sandoval Y, Smith SW, Sexter A, et al. Shi S, Qin M, Shen B, et al. Guo T, Fan Y, Chen M, et al. Lala A, Johnson KW, Russak AJ, et al.

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High Performance EMS

FEBRUARY 12, 2025

” These challenges are driving many agencies (including every single high-performance AIM-HI agency) to tier their response capabilities and extend the length of time for lower acuity responses to better serve communities and improve the skills of ALS providers.

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Don't Forget the Bubbles

FEBRUARY 5, 2025

This information allows clinicians to consider the patient’s condition, anticipated interventions, and required resources. Information about attendance should be shared with safeguarding professionals, including children’s social care. Is any further investigation indicated based on the above information?

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