Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. PAWPER was more accurate than EPLS (European life support formula) as well.

E-9-1-1 271

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

ALiEM

FEBRUARY 20, 2024

Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Successful treatment of flecainide-induced cardiac arrest with extracorporeal membrane oxygenation in the ED.

Life Support 183

Life Support Overdose ED 183

EMDocs

NOVEMBER 6, 2023

This post will focus on the key parts of the guideline that affect ED evaluation and management. Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America. It is reasonable to administer atropine for life- threatening bradycardia associated with local anesthetic systemic toxicity.

Naloxone 115

Naloxone OR BLS Overdose 115

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

E-9-1-1 89

E-9-1-1 Overdose Emergency Medical Services Life Support 89

EMDocs

APRIL 10, 2024

These medications are a vital tool in the care of ED patients, from simple local analgesia for a laceration repair to regional analgesia for painful procedures. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. 2022;59:42-48.

E-9-1-1 111

E-9-1-1 Plasma Epinephrine Life Support 111

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. doi: 10.1097/MAT.0000000000001518

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

EMDocs

JANUARY 8, 2024

This post will focus on the key parts of the guideline that affect ED evaluation and management. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit). Major Updates Avoid routine use of calcium in patients with cardiac arrest.

Epinephrine 98

Epinephrine Defibrillator Coronary CPR 98