EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. Instead, target 92-98%. Keep hemoglobin > 7 g/dL. Treat seizures if present.

Critical Care 97

Critical Care E-9-1-1 OR ICU 97

Emergency Medicine Ireland

MAY 13, 2024

Welcome back to the tasty morsels of critical care podcast. This time we’re looking at pulmonary hypertension. Mainly cause I recently had to give a talk on it so it’s fresh in my rapidly diminishing brain cells and thought I should get it all written down before I forget it. We’re going to try it as a 2 parter.

Critical Care 98

Critical Care ICU OR 98

The Skeptics' Guide to EM

OCTOBER 3, 2021

Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Lactated Ringer’s or Plasmalyte 148) over 0.9%

OR 130

OR Critical Care ICU Plasma 130

Emergency Medicine Ireland

APRIL 29, 2024

Welcome back to the tasty morsels of critical care podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the critical care end of the hospital. Neurocritical Care 1–6 (2024) doi:10.1007/s12028-024-01941-3.

Critical Care 75

Critical Care Plasma OR ED 75

Emergency Medicine Ireland

JULY 3, 2023

Welcome back to the tasty morsels of critical care podcast. This segues relatively nicely into a section of the document on palliative care. Welcome back to the tasty morsels of critical care podcast. Today we tackle a somewhat nebulous syndrome. With me so far? And this indeed portends a poor prognosis.

Critical Care 96

Critical Care ACS OR ALS 96

Core EM

JANUARY 25, 2024

Consider these medications if there are signs of end-organ dysfunction, there is a considerable delta in baseline BP, systolic is less than 90 and/or MAP is less than 65 Norepinephrine is a good pressor for a lot of the situations that we encounter in the emergency department, such as septic shock, undifferentiated shock and hypovolemic shock.

Epinephrine 246

Epinephrine Critical Care Emergency Department ED 246

Critical Care Scenarios

JULY 24, 2022

How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment. How the arc of disease peaks and falls, and how the curve of our care should match it to avoid under- or over-treatment.

Critical Care 100

Critical Care OR 100

Core EM

JANUARY 25, 2024

Hosts: Joseph Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: calcium , Critical Care , Endocrine Show Notes Swami’s CoreEM Post Hypocalcemia Repletion: IV calcium supplementation with 100-300 mg Ca2+ raises serum Ca2+ by 0.5 – 1.5

Critical Care 246

Critical Care ED ALS OR 246

Don't Forget the Bubbles

MAY 29, 2023

Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. Incivility, whether during a critical case or during day-to-day practice, influences the overall culture of the workplace. link] Isn’t it just ‘part of the job?’ Where do we go from here?

Critical Care 98

Critical Care E-9-1-1 Paramedicine Paramedicine 98

Don't Forget the Bubbles

MARCH 21, 2025

Patients were randomised in a 1:1 ratio to receive either nasal high-flow or standard care. 1069 intubations in 969 children were randomly assigned to nasal high flow (535 intubations) or standard care (534 intubations). Children who required multiple intubations could be re-enrolled and re-randomised.

ICU 103

ICU Critical Care ED OR 103

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. first appeared on The Skeptics Guide to Emergency Medicine. Date: February 7, 2023 Reference: Cheskes et al. One issue that has not been covered on the SGEM is pad placement and double sequential external defibrillation.

Defibrillator 142

Defibrillator Medical Transportation OR CPR 142

Core EM

JANUARY 25, 2024

Adapted from Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. μg/kg IV Maintenance dose: 0.5 – 15 μg/kg/hr Rapid onset. Short acting. Not affected by hepatic or renal failure. mg/kg IV followed by 0.05 – 0.4 mg/kg over several minutes 0.02 – 0.1 mg/kg 0.01 – 0.1

ICU 246

ICU Emergency Department Critical Care ALS 246

Emergency Medicine Ireland

APRIL 16, 2024

Welcome back to the tasty morsels of critical care podcast. We’ll often find 1 or 2 of these in our high dependency unit at any given time, mainly due to the requirement for frequent testing of Na levels that seems beyond the remit of normal ward level care. Caveat emptor and all that. There is indeed.

Critical Care 74

Critical Care Plasma OR ED 74

Pediatric EM Morsels

JULY 21, 2023

Inter-Rater Reliability Between Critical Care Nurses Performing a Pediatric Modification to the Glasgow Coma Scale. Pediatr Crit Care Med. We use the GCS score in both trauma and medical patients, but where did this score come from? When is it useful and what does it tell us? Inappropriate speech- No conversation.

Critical Care 246

Critical Care ALS Life Support OR 246

REBEL EM

OCTOBER 5, 2023

Patients enrolled from 31 Intensive Care Units in France. Patients admitted to the ICU with severe community-acquired pneumonia were randomized in a 1:1 ratio to receive hydrocortisone or a placebo. The study was funded by the French Ministry of Health. Population Inclusion Criteria: Adult patients (≥18 years old).

Critical Care 94

Critical Care ICU E-9-1-1 ALS 94

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The flow nurse has similar questions for you and wants to know if she should clear out a bed in the critical care bay so that the patient can have appropriate nursing requirements for an insulin infusion. He is wondering, “Hey doc, do I have to go back to the ICU strapped to an IV pole?”

ICU 274

ICU ED Critical Care ALS 274

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 119

OR Critical Care 119

Don't Forget the Bubbles

NOVEMBER 11, 2024

About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care. We are the trainee arm of the Paediatric Critical Care Society – Study Group (PCCS-SG) and work with them on research, audit and service evaluation.

ALS 117

ALS Life Support Critical Care OR 117

ALiEM

NOVEMBER 3, 2023

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score. Please go to the above link. Ann Emerg Med. 2023;82(1):55-65.

Critical Care 211

Critical Care EMS Emergency Department ALS 211

Critical Care Scenarios

JANUARY 23, 2022

An overview of the role and contributions of a clinical pharmacist in the ICU, with Laura Means Ebbitt of the University of Kentucky, a clinical pharmacist specializing in colorectal/ENT surgery and critical care. Takeaway lessons A clinical pharmacist is a “knowledge pharmacist,” dispensing advice rather than medications.

ICU 130

ICU Critical Care OR 130

ALiEM

FEBRUARY 5, 2024

Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score. Please go to the above link. Ann Emerg Med. 2023;82(1):55-65.

Overdose 215

Overdose Critical Care EMS Emergency Department 215

FOAMfrat

DECEMBER 26, 2024

IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. WE, AS EMS PROFESSIONALS, SHALL PROVIDE COMPASSIONATE, APPROPRIATE CARE TO ALL PATIENTS. TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES.

Epinephrine 116

Epinephrine First Responder OR Emergency Management 116

Critical Care Scenarios

JUNE 14, 2020

The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed.

Critical Care 130

Critical Care ED ALS OR 130

The Skeptics' Guide to EM

SEPTEMBER 28, 2019

The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. Critical Care Medicine. The Effect of Vitamin C on Clinical Outcome in Critically Ill Patients: A Systematic Review with Meta-Analysis of Randomized Controlled Trials.

ICU 130

ICU Critical Care ALS Emergency Department 130

REBEL EM

NOVEMBER 18, 2024

Day 1 • Didactic presentations by Dr. Levitan and Dr. Rezaie on crisis performance, oxygenation, airway anatomy, laryngoscopy, endoscopy, pediatrics, rescue oxygenation techniques and critical care. End of day will involve discussion of challenging airway management cases from participants and faculty.

Critical Care 71

Critical Care EMS OR 71

Emergency Medicine Ireland

OCTOBER 14, 2024

Welcome back to the tasty morsels of critical care podcast. Welcome back to the tasty morsels of critical care podcast. Following on from our initial post in this entirely accidental series on “things you don’t want to find in the chest drain” we turn our eyes (if not our noses) to empyema. Wilson, S. &

Critical Care 52

Critical Care ICU ALS OR 52

St. Emlyn's

OCTOBER 26, 2024

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 98

OR Critical Care 98

Emergency Medicine Ireland

JUNE 10, 2024

Welcome back to the tasty morsels of critical care podcast. We’re much less likely to see this cohort in the critical care side of things. Intensive Care Medicine 37 , 486–492 (2011). Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care EMS ICU ALS 52

Critical Care Scenarios

FEBRUARY 20, 2022

The hows, whys, logistics, and applications of focused, bedside transesophageal echocardiography performed by critical care and EM providers, with Felipe Teran, assistant professor of emergency medicine at Weill Cornell and director of the Resuscitative TEE Project.

Critical Care 130

Critical Care EMS OR 130

The Skeptics' Guide to EM

JUNE 12, 2022

Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of Critical Care Medicine at Mayo Clinic Arizona. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. Early work suggested potential harm from 0.9%

ICU 132

ICU Plasma Critical Care ALS 132

ACEP Now

APRIL 5, 2024

4,5 A recent study found that among 1102 critically ill adults, successful intubation on the first attempt was 80.4 Using a bougie with C-MAC video laryngoscopy did not improve first-attempt intubation success rates in critical care air transport. Some important limitations of this analysis should be recognized.

OR 73

OR ALS Emergency Department Critical Care 73

Pediatric EM Morsels

MARCH 29, 2024

Then please put IEM on your differential for critically ill newborns and infants Kids should be Sweet! To keep things simple, IEM is characterized by the inability to break down macromolecules (fatty acids, carbohydrates, and proteins) or store energy (glycogen). Find out what your state includes here. Kid with Known diagnosis?

ED 297

ED Plasma OR EMS 297

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

BLS 130

BLS Defibrillator Critical Care CPR 130

EMDocs

AUGUST 10, 2023

This collection of posts features recently published must-know articles. Today we look at the DIRECT MT trial. Inclusion criteria: Enrolled patients over the age of 18 with acute ischemic stroke with CTA confirmed occlusion of ICA, or M1 or M2 segment of MCA Within 4.5 1.30) Intracranial hemorrhage Asymptomatic 33% vs. 36%, RR 0.92 (0.75-1.14)

OR 93

OR Critical Care ALS 93

Life in the Fastlane

AUGUST 26, 2024

Caleb Lin Hyperbaric Oxygen for the ICU Patient OVERVIEW INTENSIVE CARE INDICATIONS PRACTICAL ISSUES IN CRITICAL CARE Consideration & Prior to Treatment In the Chamber A: ETT cuff to be filled with sterile water or connected to dynamic cuff inflator B: Titrate ventilation to PaCO2, note that EtCO2 is not linearly proportionate at higher pressures (..)

ICU 101

ICU Critical Care OR 101

American Ambulance Association

MARCH 3, 2025

The post Joint Position Statement on Criminal Liability for Alleged Deviations from Clinical Standards of Care in Emergency Medical Services appeared first on American Ambulance Association. This content is for AAA members only. Please either Log In or Join!

Emergency Medical Services 130

Emergency Medical Services Ambulance Emergency Medical Technician OR 130

Critical Care Scenarios

MAY 31, 2023

A brief overview and call to arms around the key concepts of ICU liberation. A brief overview and call to arms around the key concepts of ICU liberation.

OR 100

OR ICU 100