Critical Care Scenarios

MARCH 27, 2022

Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. This is not the goal.*

Critical Care 100

Critical Care ICU CPR OR 100

Handtevy

AUGUST 15, 2022

Introduction Cardiopulmonary resuscitation (CPR) is a life-saving procedure performed on individuals experiencing cardiac arrest. One of the treatments historically used during CPR is sodium bicarbonate, intended to counteract the negative effects of metabolic acidosis.

CPR 52

CPR ICU Overdose Critical Care 52

Handtevy

MARCH 14, 2018

If we remove these decades old requirements we can begin to reshape human behavior at the point of care, where it matters most. In this video we describe a step by step approach to pediatric critical care using training that is specifically geared towards System 2 elimination.

CPR 52

CPR Epinephrine Critical Care EMS 52

Don't Forget the Bubbles

JUNE 30, 2023

She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Despite good quality CPR, there is no ROSC. CRITICAL CARE CASE REPORTS: METABOLIC, RENAL, AND ENDOCRINE , pp. Despite good quality CPR, there is no ROSC. C and remained pulseless. a) Give IV K+?

CPR 145

CPR Life Support Critical Care ALS 145

Unitek EMT

SEPTEMBER 19, 2024

EMTs are trained to respond to emergency situations, providing critical care and assistance to those in need. Whether it’s performing CPR, […] The post What to Expect on Your First Day as an EMT appeared first on Unitek EMT.

EMT 72

EMT EMT Emergency Medical Technician CPR 72

The Skeptics' Guide to EM

FEBRUARY 3, 2023

The nurses started CPR immediately and place pads before you even arrived. A 50-year-old man who was admitted to the hospital with a non-ST elevated myocardial infarction (NSTEMI) overnight was found unconscious and without a pulse. The patient is still unconscious. Are we supposed to be starting hypothermia?”

CPR 130

CPR Critical Care STEMI ALS 130

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care […] The post SGEM#350: How Did I Get Epi Alone? Cardiopulmonary resuscitation (CPR) is in progress. The monitor shows a non-shockable rhythm.

Epinephrine 100

Epinephrine Critical Care Life Support Emergency Department 100

REBEL EM

AUGUST 21, 2023

Monitoring cerebral pressures is crucial in assessing the impact of interventions, especially in critical care scenarios. The results may be influenced not only by the specific intervention (pCO2 management) but also by other aspects of critical care delivered during the trial.

E-9-1-1 96

E-9-1-1 Critical Care CPR ALS 96

Critical Care Scenarios

MAY 24, 2023

No-flow time without CPR should be very brief (witnessed is best), but low-flow time (with CPR) can actually be very long and still have good outcomes with ECPR. Mechanical CPR devices help by reducing energy in the room and reducing movement of the lower body; if not present, assign someone to manually stabilize the pelvis.

CPR 100

CPR ED EMS OR 100

Don't Forget the Bubbles

JUNE 17, 2024

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. However, education and training for healthcare professionals traditionally prioritise ‘hard skills’, particularly critical care resuscitation. Conclusion Critical care resuscitation is stressful.

E-9-1-1 105

E-9-1-1 Critical Care CPR ICU 105

EMOttawa

JULY 11, 2024

CPR was ongoing, and their ETA was 10 minutes. In Fall 2023, I was working an evening shift at a community hospital when we got a patch. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. We prepared the ED for the patient’s arrival. It’s Backkkk (Part 1) appeared first on EMOttawa Blog.

CPR 77

CPR EMS ED Critical Care 77

Don't Forget the Bubbles

JUNE 26, 2023

The primary management aim is the same as that for all critical care – ensuring adequate systemic oxygen delivery to meet demands, i.e., avoiding hypoxia. The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. 2017;51(1):50-57.

Critical Care 128

Critical Care ALS OR CPR 128

ACEP Now

NOVEMBER 7, 2024

Background From its founding in 1881 to today, the American Red Cross has taught tens of millions of Americans first aid and other lifesaving skills, including CPR. It also offers a comprehensive “CPR for the Professional Rescuer” course. In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel.

Life Support 74

Life Support BLS Advanced Life Support CPR 74

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. When EMS arrived the patient was in ventricular fibrillation. They shocked him twice before return of spontaneous circulation.

Coronary 118

Coronary CAD CPR Critical Care 118

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR. Hypothermic arrest differs from cardiac arrest from other causes.

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. 3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like.

Defibrillator 135

Defibrillator Coronary STEMI CPR 135

NAEMSP

MARCH 5, 2024

Background Transport of patients to a higher level of care is a decision we make daily in the prehospital setting as well as at the hospital. There has been literature to support the use of air in trauma-both because of the time to definitive care but also the critical care that can be started at the scene.

Critical Care 52

Critical Care Medical Transportation CPR EMS 52

EMT Training Station

FEBRUARY 10, 2024

Many EMTs choose to specialize in areas such as pediatric care, hazardous material response, or critical care transport, broadening their expertise and enhancing their career prospects. They often engage in public education, teaching CPR and first aid, and participating in health and wellness fairs.

EMT 98

EMT EMT Emergency Medical Technician First Responder 98

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. The take home message: “Irrespective of presenting rhythm, in patients with cardiac arrest, there is no conclusive evidence that administration of calcium during cardiopulmonary resuscitation (CPR) improves survival.” Kay, J., & Blalock, A.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

EMT Training Station

FEBRUARY 11, 2024

It focuses on essential lifesaving skills, such as CPR (cardiopulmonary resuscitation), controlling bleeding, and managing shock. The Role of EMS (Emergency Medical Services) Emergency Medical Services (EMS) are an integral part of healthcare systems worldwide, providing critical care and support during emergencies.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

TIMER

AUGUST 24, 2022

Both Advanced EMT and EMT-Critical Care are recognized in New York. The Critical Care certification used in several counties varies considerably from EMT Basic Course NYC; it is not regarded as a paramedic certification. He or she needs to be in possession of a current CPR certification.

EMT 40

EMT EMT Emergency Medical Technician Emergency Medical Services 40

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. They must act quickly to provide life-saving interventions such as administering oxygen, CPR, or using an automated external defibrillator (AED) to stabilize the patient's condition before transport.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

Paramedic Training Spot

DECEMBER 8, 2021

These prerequisites include maintaining a valid EMT-B certificate or higher, successfully completing a CAAHEP-accredited education program within the past 2 years, maintaining valid CPR-BLS credentials or their equivalent, and successfully completing the cognitive and psychomotor examination portions of the NREMT-P curriculum.

Paramedic 52

Paramedic E-9-1-1 EMT EMT 52

AAEM RSA

AUGUST 27, 2020

Interventions during the acute phase of treatment post return of spontaneous circulation (ROSC) are therefore critical. 1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC.

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

Don't Forget the Bubbles

MAY 10, 2023

They’re getting CPR. Trends in Anaesthesia and Critical Care. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know what to do, in principle, but you’ve never seen one before. …You burst into resus. A teenager lies on the resus trolley. Your eyes are drawn to their chest.

Emergency Department 91

Emergency Department ED CPR OR 91

ACEP Now

OCTOBER 30, 2023

In terms of collaborations, ESEM joined forces with the Emirates Cardiac Society (ECS), Emirates Anaesthesia Society (EAS), Emirates Society of Neurological Surgeons (ESNS), and the Emirates Critical Care Society (ECCS) to establish the Emirates Resuscitation Council (ERC).

Emergency Department 52

Emergency Department ALS CPR Critical Care 52

ACEP Now

NOVEMBER 7, 2023

1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). 4,5,6 Extracorporeal membrane oxygenation (ECMO) has been studied and found to improve survival after ventricular fibrillation.

Defibrillator 52

Defibrillator E-9-1-1 ALS Epinephrine 52

Paramedic Training Spot

JANUARY 20, 2022

The CPR course typically takes 4 to 8 hours to complete. With your CPR card in hand, you must then attend another course to earn an emergency medical technician certification. This is the entry-level licensure for all emergency medical services professionals and is regulated by the Office of Emergency Medical Services.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

REBEL EM

SEPTEMBER 5, 2022

Recent studies on patients requiring critical care have demonstrated that hyperoxia is harmful and instead we should be targeting normoxia (SpO2>93%). Background: Hypoxemia and hypoperfusion are important factors in outcomes after ROSC. Liberal O2 (PaO2 13 to 14kPa (98 to 105mmHg) Initial FiO2 set at 0.6 Liberal O2: 33.9%

ICU 52

ICU ALS OR CPR 52

ACEP Now

APRIL 3, 2024

7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. degrees Celsius “is a reasonable and evidence-based approach.” Circulation. 2015;132(25):2448-56. Lascarrou J-B, Merdji H, et al.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

EMT Training Station

MARCH 10, 2023

By having a reliable timekeeping device, EMTs can focus on providing critical care to patients without worrying about the reliability of their watch. The 100-hour chronograph with memory for 30 laps/splits is a valuable feature for tracking time-sensitive medical procedures, such as CPR or medication administration.

EMT 52

EMT EMT Paramedic EMS 52

Dr. Smith's ECG Blog

APRIL 8, 2016

_ Here is another post on hypoK: Patient with severe DKA, look at the ECG In this post, I discussed another patient I took care of : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia. Crit Care Med. Setting: Multidisciplinary critical care unit.

STEMI 52

STEMI Plasma Defibrillator OR 52

St. Emlyn's

JANUARY 2, 2025

St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.

CPR 139

CPR Critical Care 139

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program. After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK.

Epinephrine 249

Epinephrine OR CPR Paramedic 249

Core EM

FEBRUARY 2, 2025

Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , Pediatrics Show Notes Overview Historical Context: The conversation around allowing family members in the room during resuscitation events began gaining attention in 1987. We discuss the impact of family presence during resuscitations.

CPR 130

CPR Critical Care Emergency Department ALS 130

FOAMfrat

NOVEMBER 25, 2024

Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. When performing CPR on a pregnant female, a clinician on the resuscitation team will need to be dedicated to displacing the fundal abdomen towards the left shoulder. Critical Care Medicine, 33 (10), S279-S285.

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Dr. Smith's ECG Blog

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. Multidisciplinary critical care management of electrical storm. She was defibrillated perhaps 25 times. Noseworthy, P.

E-9-1-1 75

E-9-1-1 OR Defibrillator Coronary 75