Books, ICU and OR - Paramedicine Now

Post-Intubation Sedation and Analgesia

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

ICU

ICU Emergency Department Critical Care ALS

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

OCTOBER 30, 2024

The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Along the same time, a veterinary sedative, xylazine , became popular in Puerto Rico in individuals who used injection drugs [3]. We treat with wound care and reserve surgical management only for limbs that are no longer viable.

E-9-1-1

E-9-1-1 Naloxone Emergency Department ALS

Weakness and Palpitations. What’s “long” with this ECG?

Core EM

OCTOBER 23, 2024

The patient was admitted to the Medical ICU for aggressive electrolyte replacement, q2h BMPs, and due to concern for decompensation as signaled by his elevated troponin. The Internet Book of Critical Care. and tends to occur in men of Asian descent. and tends to occur in men of Asian descent. Mol Endocrinol. 1987 Jan;1(1):83-9.

Emergency Department

Emergency Department ICU Critical Care Ambulance

Tasty Morsels of Critical Care 081 | Pulmonary Hypertension ICU management strategies

Emergency Medicine Ireland

MAY 27, 2024

Vasopressin has some animal data suggesting it causes less rise in PVR than our beloved noradrenaline but take that with an appropriately loosely defined portion of salt given that animal data is not ICU patients. Is the IVS becoming less flattened, is the RV less distended, is the TAPSE improving etc… Echo early, echo often in my book.

Critical Care

Critical Care ICU OR ALS

Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

JANUARY 4, 2025

Clarke took from 19781980 provide a glimpse into working in an emergency department in the years the specialty was being established. At first glance, one might notice the clothesnurses in white dresses and doctors in wide ties or bellbottom jeansor the hairafros, sideburns, and mustaches aplenty. Now, we have ultrasound or CT scans to confirm.

ED

ED Emergency Department Ambulance CPR

Tasty Morsels of Critical Care 032 | Nutritional requirements in ICU

Emergency Medicine Ireland

MARCH 15, 2021

As the good book says, man shall not live by kCal alone so we need to consider what else the patient needs nutritionally. I mention these only as useful options for a candidate to scribble down in answer to a question rather than perform them in real life. First off – protein.

Critical Care

Critical Care ICU OR

Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

REBEL EM

SEPTEMBER 29, 2022

There are also potential harms to large volume fluid resuscitation including progression of pancreatitis and fluid overload with or without respiratory failure. Though the initial recommendation for aggressive fluid resuscitation was not based on substantial evidence, clinicians have been slow to pivot away from this approach.

ICU

ICU ALS Critical Care Emergency Department

Prep for DNB Emergency Medicine (India) - by Manasa Seshadri

EM Didactic

NOVEMBER 5, 2018

This will require you to touch upon basic clinical aspects of these subjects from the respective books other than reading only the standard EM books. This will require you to touch upon basic clinical aspects of these subjects from the respective books other than reading only the standard EM books. Weingart David C.

BLS

BLS EMS OR ICU

Tasty Morsels of Critical Care 007 | Pneumocystis Jirovecii Pneumonia

Emergency Medicine Ireland

NOVEMBER 26, 2020

Diagnosis can be tricky and from an ICU perspective they’re probably sick enough to justify empiric treatment based on context without waiting for all the results. This should be at high dose which you should check in a book or with a pharmacist. LDH, while commonly ordered is even less useful.

Critical Care

Critical Care ICU OR

Tasty Morsels of Critical Care 061 | Asthma

Emergency Medicine Ireland

MAY 16, 2022

I suspect that’s largely due to better access and provision of primary care but there remains a cohort of fairly brittle folk out there who will occasional crop up in resus or the ICU. For management of asthma like this, the mainstay of treatment is inhaled beta agonists with a chaser of ipratropium and some steroid.

Critical Care

Critical Care ICU OR EMS

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

APRIL 22, 2024

Time was of the essence, the patient was intubated, ACLS measures were continued, and POCUS was performed. The POCUS findings enabled EPs to confidently recognize findings consistent with hemodynamically unstable (formerly sub-massive or massive) PE. Multiorgan POCUS The diagnostic power of POCUS often resides in combining multiple ultrasound exams.

ED

ED NARCAN ALS OR

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. It was first dubbed the “bloody vicious cycle” by the American Trauma Society and was correlated with increased hemorrhage and death. compared to patients with mild acidosis or normal pH.

ICU

ICU Emergency Department OR ED

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

APRIL 9, 2025

She had no further episodes of VF. Angiogram: 2. LAD: type III-IV vessel with a proximal thrombotic or embolic occlusion (TIMI 0 flow). The final angiographic result is very good. Troponins Initial troponin was 24 ng/L (barely above URL). More proof that a huge STEMI may have normal or near normal initial troponin. See reference below.

Defibrillator

Defibrillator STEMI ED Coronary

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

History of Present Illness The collateral history indicates that her symptoms began one week into her journey, but medical care was inaccessible at the time. The family reports no history of food allergies, insect bites, or contact with sick individuals. The patient did not receive pre-travel prophylaxis for malaria, hepatitis A, or yellow fever.

ED

ED E-9-1-1 ALS Emergency Department

Paramedicine Now

Post-Intubation Sedation and Analgesia

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

Trending Sources

Weakness and Palpitations. What’s “long” with this ECG?

Tasty Morsels of Critical Care 081 | Pulmonary Hypertension ICU management strategies

Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

Tasty Morsels of Critical Care 032 | Nutritional requirements in ICU

Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

Prep for DNB Emergency Medicine (India) - by Manasa Seshadri

Tasty Morsels of Critical Care 007 | Pneumocystis Jirovecii Pneumonia

Tasty Morsels of Critical Care 061 | Asthma

POCUS findings of hemodynamically unstable PE with cardiac arrest

Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

ED care of refugee populations from sub-Saharan Africa

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