The Skeptics' Guide to EM

JUNE 18, 2022

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. The paramedic asks you, “we have saline, and we also have red-cells and this fancy new lyophilised plasma. What do you advise him?

Plasma 100

Plasma Critical Care Paramedic ALS 100

Emergency Medicine Ireland

MARCH 7, 2022

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. On the other hand, lymphoid cells have a much smaller and narrower family tree differentiating into different types of lymphocytes and plasma cells.

Critical Care 52

Critical Care Plasma ICU OR 52

Emergency Medicine Ireland

JUNE 7, 2021

Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 52

Critical Care Plasma ICU OR 52

Emergency Medicine Ireland

MARCH 13, 2023

Welcome back to the tasty morsels of critical care podcast. In broad terms we can compare dialysis (the movement of small molecules across a membrane along an osmotic gradient) with ultrafiltration (the squeezing of plasma through a big sieve that retains the big bits of the plasma and lets the other bits leak out).

Critical Care 52

Critical Care Plasma ICU OR 52

Emergency Medicine Ireland

FEBRUARY 11, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Up front there are some problems with the terminology * Plasmapheresis = process of removing plasma from the blood. Unlike CRRT we tend to defer to another specialty to do this.

Critical Care 40

Critical Care Plasma ICU OR 40

Critical Care Scenarios

JANUARY 10, 2021

Best practices in care of the critically ill patient with COVID-19 pneumonia are not known at this time. Worsening tachypnea, distress, and ventilatory (not hypoxic) failure are a marker to upgrade care and/or intubate a borderline COVID patient.* Check a D-dimer to stratify hypercoagulability.*

Critical Care 100

Critical Care Plasma ICU OR 100

Emergency Medicine Ireland

MARCH 11, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. GBS management can be nicely split into disease specific management and ICU supportive care. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care Plasma ICU OR 40

Emergency Medicine Ireland

DECEMBER 7, 2020

Welcome back to the tasty morsels of critical care podcast. Critical illness in pregnancy is remarkably rare given the somewhat bonkers system for reproduction that we seem to have evolved over the past million or years. Improved care of complex. Read More » Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care CAD Plasma ACS 40

Emergency Medicine Ireland

OCTOBER 28, 2020

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. Treatment consists of: * PLEX – actual proper PLEX with plasma replacement as opposed to just washing out all the good stuff and giving albumin as replacement.

Critical Care 40

Critical Care Plasma FFP ICU 40

Emergency Medicine Ireland

JUNE 28, 2021

Welcome back to the tasty morsels of critical care podcast. Read More » Welcome back to the tasty morsels of critical care podcast. In the critically ill it can also reflect vitamin K deficiency or deficiency of any number of factors in that pathway say from liver dysfunction.

Critical Care 40

Critical Care Plasma OR 40

Emergency Medicine Ireland

OCTOBER 17, 2022

Welcome back to the tasty morsels of critical care podcast. 1) vasogenic due to disruption of the blood brain barrier 2) cytotoxic due to plasma hypoosmolality, mostly thought to be related to failure of various ion pumps. Welcome back to the tasty morsels of critical care podcast.

Critical Care 40

Critical Care ICU Plasma OR 40

Critical Care Scenarios

OCTOBER 31, 2021

Plasma free hemoglobin levels may be a useful marker that changing your oxygenator could improve gas exchange.* Cannulation can be done by whomever is skilled and trained, such as cardiac surgery, trauma surgery, trained intensivists, etc.* Anticoagulate most patients on VV ECMO with heparin to a PTT of 45-55.

Interfacility Transport 100

Interfacility Transport Plasma ICU EMS 100

Don't Forget the Bubbles

NOVEMBER 15, 2023

Have a look to see how their osmolarity and tonicity across the cell membrane compare to plasma. Renal (= urine output) : anti-diuretic hormone (ADH) release from the posterior pituitary is stimulated by microchanges in plasma osmolarity. This water is held in either the intracellular compartment (i.e. everywhere outside the cells).

Plasma 80

Plasma ALS ICU Critical Care 80

Don't Forget the Bubbles

AUGUST 12, 2024

This can be from the brain hitting the skull, shear forces from sudden acceleration and deceleration, or direct injury at the point of impact. The severity of head injuries can be classified according to the GCS. TBI occurs in two stages: a primary brain injury and a secondary brain injury. This insult to the brain is often irreversible.

ALS 75

ALS Emergency Department Plasma OR 75

The Curious Clinicians

JANUARY 16, 2024

In 1999, the TRICC ( Transfusion Requirements in Critical Care) trial was published in The New England Journal of Medicine. In 1999, the TRICC ( Transfusion Requirements in Critical Care) trial was published in The New England Journal of Medicine. Let’s focus on that last point.

Plasma 52

Plasma ACS Critical Care OR 52

FOAMfrat

AUGUST 15, 2024

I can only speak for me, but I don’t ever remember anyone talking about that, and I would venture to guess most readers don’t either. I love this definition because it is simple and to the point: bleeding post birth accompanied by shock. Perfusion in your body is much the same. In the case of our patient, she is experiencing the latter.

Plasma 69

Plasma Ambulance ALS Emergency Department 69

Dr. Smith's ECG Blog

APRIL 8, 2016

Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: Internal potassium balance and the control of the plasma potassium concentration. Here is his ED ECG: There is obvious infero-posterior STEMI. Is 40 mEq too much?

STEMI 52

STEMI Plasma Defibrillator OR 52

ACEP Now

NOVEMBER 16, 2023

Fresh frozen plasma, or FFP, should only be given to cirrhotic patients as part of the massive transfusion protocol in cases of profound hypotension, as “patients with cirrhosis rarely have true enzymatic hypocoagulability, and FFP may worsen bleeding due to over-resuscitation and dilution of coagulation factors.” 6 Balloon tamponade (i.e.,

Frozen Plasma 52

Frozen Plasma FFP ALS Plasma 52

ACEP Now

FEBRUARY 6, 2024

Artifactual elevation of measured plasma L-lactate concentration in the presence of glycolate. Critical Care Medicine. To specifically address the concern that I “strongly recommended using UV light from a Wood’s lamp to examine the urine for fluorescence,” no other light source would work for this purpose. 2023;43(10):20-21.

ALS 52

ALS Plasma Critical Care OR 52

Emergency Medicine Ireland

MARCH 4, 2021

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Read More » Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation.

Critical Care 40

Critical Care ICU Plasma Emergency Department 40

ACEP Now

FEBRUARY 11, 2025

In 2022, the National Poison Data system reported 1,278 cases involving kratom; about 45 percent of those cases required health care facility management. Investigation of the adrenergic and opioid binding affinities, metabolic stability, plasma protein binding properties, and functional effects of selected indole-based kratom alkaloids.

NARCAN 89

NARCAN Naloxone Overdose Mental Health Services 89

FOAMfrat

NOVEMBER 25, 2024

Regardless, of whether you are caring for female one or two, we should be aware that both cases are immensely complicated to manage and require our most valiant efforts. AFEs are rare, and little is known about the etiology of their development or the pathophysiology of their damage. But how do we manage them?

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Don't Forget the Bubbles

MARCH 24, 2025

Later phase : As plasma levels fall, vasoconstriction decreases. Careful temperature monitoring and management are essential. This makes it a valuable adjunct in multimodal sedation and analgesia strategies, particularly in paediatric critical care and procedural sedation.

E-9-1-1 59

E-9-1-1 Emergency Department ALS ICU 59

Core EM

JANUARY 16, 2025

There two critical components to every airway evaluation include: The persons anatomy that will predict if the intubation will be difficult or not, and if so, how difficult. Practice may not achieve perfection, but it will make you better. All of these topics are active areas of research, so keep an eye on the literature for new innovations!

E-9-1-1 130

E-9-1-1 EMS ALS OR 130