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Duties include but are not limited to stocking, cleaning, transporting patients, performing EKGs, blood draws, and CPR. This is a position that is also sought after by nursing assistants as well as paramedics. You’re essentially support staff for nurses.
Enrolled 789 patients RePHILL Study Question and Methods: Multicenter RCT out of the UK that investigated prehospital resuscitation using PRBCs and plasma versus normal saline to improve tissue perfusion or mortality in adult trauma patients with hemorrhagic shock. The gang gets back together and discusses new resuscitation data from 2022.
Callelo: @DrDianeC, @njpoisoncenter, also at @ToxAndHound The COMBAT trial for prehospital plasma: [link] The PAMPHER trial: [link] BOKUTOH criteria study: [link] PARAMEDIC2 study of Epinephrine in OHCA: [link] Pediatric airway management in cardiac arrest: [link] Heads up CPR in OHCA: [link] And, why it may NOT be ready for EMS use, yet….
According to the AHA 2005 on CPR & ERC, it says:"Absorption and subsequent achievement of maximum plasma concentration after subcutaneous administration is slower and may be significantly delayed with shock. IM vs SC - which is preferred? Thus, intramuscular (IM) administration is favored."Thus,
We could not resuscitate her, but we did have excellent perfusion with LUCAS CPR, such that pulse oximetry had excellent waveform and 100% saturations, end tidal CO2 was 35, and cerebral perfusion monitoring was near normal throughout the attempted resuscitation. The estimated deficit associated with a serum decrease from 4.0 mEq/L to 3.0
Internal potassium balance and the control of the plasma potassium concentration. Volume 34 , Issue 11 , pages 10771082 , November 1994 Although concentrated infusions of potassium chloride commonly are used to treat hypokalemia in intensive care unit patients, few studies have examined their effects on plasma potassium levels.
Internal potassium balance and the control of the plasma potassium concentration. The estimated deficit associated with a serum decrease from 4.0 mEq/L is 100-200 mEq of total body K, and from 3.0 the associated loss is double, at 200-400 mEq.* [ Sterns RH, et al. Medicine (Baltimore) 1981;60:339-54].
Resuscitating patients with low titer O whole blood or with component therapy in a ratio of 1:1:1, with packed red blood cells, platelets, and plasma, is impactful as it will help promote the restoration of circulation and add platelets and hemoglobin to the depleted store. We can all agree upon this.
This graph shows the gaseous equivalent volume of oxygen stored in the lungs, bound to hemoglobin, and dissolved in the plasma for people breathing room air (far left) vs the same people pre-oxygenated by breathing 100% O2 (far right), and then after they have desatted to 90% while apneic (center). Figure 7: (modified from Tanoubi 2009).
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