Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. Should we aim to prevent fever, or should we cool patients? A 12-year-old boy presents with a significant head injury following a road traffic accident. At the scene, his lowest GCS was 5 (E1V2M2).

ALS 117

ALS Life Support Critical Care OR 117

REBEL EM

NOVEMBER 11, 2024

Background: Patients with sepsis are routinely treated with empiric broad-spectrum antibiotics while awaiting source identification, as recommended by the surviving sepsis campaign.2 Vancomycin, in combination with either piperacillin-tazobactam or cefepime, is commonly used for empiric treatment in these cases. Literature comparing the two regimens has largely focused on the adverse effects of each medication, rather than on overall efficacy.

E-9-1-1 101

E-9-1-1 ICU ALS Critical Care 101

FirstWatch

NOVEMBER 11, 2024

Instructions to join are below description and speakers. December 5, 2024 | 9:00 am PDT (12:00 pm EDT) There has been growing attention to the responses that emergency services provide for people, in particular, individuals with a range of mental health needs, when they are in crisis. There has been an increasing demand for paramedic services to respond to mental health-related calls, and it’s becoming even more important to respond appropriately to these calls.

Paramedicine 40

Paramedicine Paramedicine Paramedic Community Paramedicine 40

First 10 EM

NOVEMBER 11, 2024

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. (The podcast and Research Roundups blog post might actually come out next week.) I was skeptical about the outcomes, partly because the evidence that epinephrine helps at all in cardiac arrest is […] The post IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO) appeared first on First10EM.

Epinephrine 127

Epinephrine EMS 127

Dr. Smith's ECG Blog

NOVEMBER 11, 2024

Written by Willy Frick A middle aged man presented for elective outpatient surgery. The following ECG was obtained in the preoperative area. What do you think? The ECG shows sinus rhythm with a rate of about 78 and 2:1 AV conduction along with right bundle branch block and left anterior fascicular block. The PR interval on the conducted beats is prolonged, about 220 ms.

OR 71

OR E-9-1-1 Coronary 71