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). His blood sugar was normal en route to the ED, and his initial rhythm on the cardiac monitor was asystole. It is unclear how long he was down.

Defibrillator 106

Defibrillator CPR Epinephrine Life Support 106

EMDocs

OCTOBER 19, 2024

2][3] Bacterial tracheitis should be suspected over croup if nebulized racemic epinephrine or steroids do not improve the clinical course. [2][3][8] A 6-year-old girl presents to the ED with 1 day of fevers up to 104.1°F 2] Antibiotics Antibacterial management should be prompt and include broad-spectrum coverage, including MRSA. [2]

EMS 108

EMS E-9-1-1 Epinephrine OR 108

Dr. Smith's ECG Blog

JULY 24, 2018

They stated that the patient was coded for 20 minutes, including multiple doses of epinephrine, and they also gave glucose, calcium, and bicarb. As stated above, resuscitation included epinephrine, calcium, and bicarb. Bottom Line: Hyperkalemia is an increasingly common ED diagnosis that must not be missed.

Epinephrine 52

Epinephrine ICU Coronary EMS 52

ACEP Now

NOVEMBER 14, 2023

One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. The definition of massive hemoptysis is variable across publications with expectorated blood volumes ranging from 100 to 1,000 mL per 24 hours, as these volumes are difficult to estimate for any given patient.

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

EMDocs

DECEMBER 18, 2023

On arrival to the ED, her blood pressure is 84/36 mmHg with a heart rate of 110 beats per minute. 3,4 Prompt recognition and management of sepsis and septic shock are paramount for the ED clinician. 8,9 Recently, monocyte distribution width (MDW) has shown promise in a large meta-analysis as a useful screening tool in the ED.

E-9-1-1 86

E-9-1-1 ALS Emergency Department Plasma 86

Dr. Smith's ECG Blog

APRIL 6, 2018

Chest compressions were continued, and the patient was given 1 round of epinephrine, calcium, bicarb, glucose. He ended up requiring a total of 13 grams of CaCl in the ED to maintain rhythm and hemodynamics until our dialysis colleagues could start dialysis in the ED. We could have also considered terbutaline (start at 0.25

Defibrillator 52

Defibrillator ICU EMS Plasma 52

EMDocs

JANUARY 14, 2025

For the presentation and ED evaluation of GBS, please see Part 1. Episode 112: Guillain-Barr Syndrome Part 2 ED treatment: IVIG and plasma exchange are the main treatment modalities. Have push dose epinephrine at the bedside as induction can remove sympathetic tone and result in a vagal episode.

Plasma 97

Plasma Epinephrine ICU ED 97

EMDocs

OCTOBER 29, 2024

A 43-year-old male with a history of mitral valve regurgitation s/p valvular replacement, hypertension, hyperlipidemia was evaluated in the ED for septic shock secondary to a pyelonephritis with a renal abscess. Left ventricular outflow tract obstruction in ICU patients. He has clinically deteriorated and required intubation.

E-9-1-1 98

E-9-1-1 ICU Epinephrine EMS 98

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. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest. Resuscitation. 2024 Aug;201:110266.

Epinephrine 61

Epinephrine Emergency Department Critical Care ICU 61