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Initially tested in Johannesburg, South Africa: 1 month old to 12 years old Broselow predicted within 10% of weight in 63.6% PAWPER was more accurate than EPLS (European lifesupport formula) as well. 2007-2902 Wells M, Coovadia A, Kramer E, Goldstein L. 2020;13(1):9. Broselow does not. x exp[0.02
1-5] Since then, many more medications have been developed and deployed. 1-5] This post focuses on the identification and management of Local Anesthetic Systemic Toxicity (LAST). 3-5,7] Symptom onset is usually within 1 minute of intravascular injection but can be delayed if multiple injections or continuous infusion. [5]
She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular lifesupport (ACLS). 1) There are a limited number of antitussives on the US market which include benzonatate, codeine, dextromethorphan, diphenhydramine, and hydrocodone. What are the treatment options for a benzonatate overdose?
1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. Paralytic agents include rocuronium at 1 mg/kg IV and succinylcholine at 1-2 mg/kg IV. What is the most appropriate treatment at this time? mg/kg IV, ketamine at 1.5–2
Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] 1] Table from Hamam et al. 9] Figure from Clemency et al. Circulation.
This CI does include 1; and further and further analysis of the data showed that the likelihood that calcium has a beneficial effect (e.g. The overall conclusion was that as less than 1% of cardiac arrest etiologies fall into a group that would potentially benefit from calcium, that routine use should be avoided (Padrao, et.
The search contained terms for (1) prehospital cardiac arrest or prehospital advanced lifesupport, and (2) injuries and trauma. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. 2008 Apr 22;178(9):1141-52. A literature review. Prehospital Disaster Med. Resuscitation.
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. Kirkegaard H, Soreide E, de Haas, I et al. De Fazio C, Skrifvars MB, Soreide E et al. 2019;23(1):1–9.
He was started on Extracorporeal LifeSupport ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) He remained supported on an intraaortic balloon pump. Here they are: Learning Points: 1. Am J Med [Internet] 2017;130(12):1431–9.e4. Angiogram was negative.
The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. Reference: Hirsch KG, Abella BS, Amorim E, et al; American Heart Association, Neurocritical Care Society. 2023 Dec 1.
9 Delayed NCHCT is less sensitive due to decreased visibility of blood collection secondary to red blood cell (RBC) degradation. 12 A few studies have shown that phenytoin with a loading dose of 1 g decreases seizure incidence in spontaneous SAH. 2022 Jan;39(1-2):35-48. Avest E, Taylor S, Wilson M, et al. J Neurotrauma.
E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. This case meets the threshold for CT head within 1 hour, and given the mechanism and inability to clear the cervical spine due to the patients GCS guidance would suggest imaging this.
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