Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Int J Emerg Med. Use of the Broselow tape in a Mexican emergency department.

E-9-1-1 271

E-9-1-1 Emergency Medical Services Life Support ALS 271

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med. Parents note that he has been progressively more tired and difficult to arouse. Today we are focusing on sodium bicarbonate.

CPR 130

CPR ICU Critical Care Epinephrine 130

REBEL EM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. Over the years emergency and critical care physicians have tried many ways to establish IV access in emergencies including the “crash” or “dirty” central line.

Epinephrine 105

Epinephrine ALS Critical Care Emergency Department 105

ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Adult cardiac arrest in the emergency department – A Swedish cohort study.

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

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). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. 1996;40(3):483-485.

Defibrillator 110

Defibrillator CPR Epinephrine Life Support 110

EMDocs

JANUARY 4, 2024

Other Norepinephrine or epinephrine are preferred vasopressors when needed. Case Follow-up: The patient required a dose of lorazepam in the emergency department. Critical Care Toxicology. The patient’s mother believes the patient thought the pills were acetaminophen, and she was taking them for abdominal pain.

Overdose 94

Overdose E-9-1-1 ALS Emergency Department 94

NAEMSP

APRIL 19, 2023

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 critical care setting, such as congenital heart disease. Pediatric Critical Care Medicine, 23 (11), 860-871. Kay, J., & Blalock, A.

E-9-1-1 52

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

ACEP Now

NOVEMBER 7, 2023

A 67-year-old man presents to the emergency department (ED) in cardiac arrest. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. He was found by bystanders after he collapsed and 911 was called. EMS physicians report he was found in ventricular fibrillation.

Defibrillator 52

Defibrillator E-9-1-1 ALS Epinephrine 52

AAEM RSA

AUGUST 27, 2020

However, the decade since the original Hypothermia after Cardiac Arrest trial had seen significant advances in pre-hospital, emergency department, and critical care that may have contributed to these outcomes. These results suggest that targeting a lower temperature of 33ºC confers no additional benefit to targeting 36ºC.

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

FOAMfrat

NOVEMBER 25, 2024

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. Critical Care Medicine, 33 (10), S279-S285. Could this work for the AFE patient?

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

EMDocs

MARCH 18, 2025

Consultation needed for definitive management: Pulmonology/critical care, IR, and cardiothoracic surgery; admission to the critical care setting (likely requires transfer). Bronchoscopy can be used for bleeding control with cold saline, epinephrine, activated factor VIIa, or TXA. Am J Emerg Med.

E-9-1-1 82

E-9-1-1 FFP Critical Care ALS 82

Broome Docs

NOVEMBER 17, 2024

PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Resuscitation.

Epinephrine 61

Epinephrine Emergency Department Critical Care ICU 61