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Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a criticalcare paramedic and first year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, prehospital criticalcare, airway management, and point-of-care ultrasound.
Research interests include simulation-based assessment, transport medicine, and criticalcare analgesia. He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. An anesthetist is working with him for the procedures.
Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric CriticalCare Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med. Your team begins high quality cardiopulmonary resuscitation (CPR). Today we are focusing on sodium bicarbonate.
JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and criticalcare as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? first appeared on The Skeptics Guide to Emergency Medicine.
We went four rounds punching and counter punching arguments about criticalcare controversies. We both agree that the patient deserves the best care, based on the best evidence. It is an example of mixing education and entertainment for some great knowledge translation. The REBEL took the fight to the Skeptic.
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 CriticalCare […] The post SGEM#350: How Did I Get Epi Alone? Cardiopulmonary resuscitation (CPR) is in progress. The monitor shows a non-shockable rhythm.
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 criticalcare using training that is specifically geared towards System 2 elimination. What changed?
Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/criticalcare pod of your emergency department (ED). The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field.
CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. 2020), but IV Calcium is still used routinely in some cases in the criticalcare setting, such as congenital heart disease.
Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. 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).
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.
_ 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 criticalcare unit.
Guest Skeptic: Missy Carter is a PA currently practicing in criticalcare after having attended the University of Washington's MEDEX program. After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. Epinephrine has long been a cornerstone in the management of OHCA.
In the standard care of anaphylactoid reactions, we administer Epinephrine, Diphenhydramine, steroids, and bronchodilators. Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. CriticalCare Medicine, 33 (10), S279-S285. Could this work for the AFE patient?
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