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New Clinical Practice Guideline Released

American Burn Association

” This CPG will be of most use to nurses, physicians, and rehabilitation therapists who provide care to critically ill patients in the burn-ICU. .” ” This CPG will be of most use to nurses, physicians, and rehabilitation therapists who provide care to critically ill patients in the burn-ICU.

EMR 40
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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. 2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? Paper: Owyang CG, et al.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

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The Brink of Burnout

AAEM RSA

We have already converted pediatric hospitals to accept adult patients, our backup docs are working full schedules, our nurses are working double time, the ED functions as an additional ICU, and we are stretched to our limits with no end in sight. What are we going to do? What else can we do? I was concerned for her well-being and safety.

ICU 52
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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Despite the lack of high-quality evidence to support these sepsis bundles, many hospitals incorporated them into their electronic medical record (EMR). It is the leading cause of death in the intensive care unit (ICU) in the US and the most expensive diagnosis. mg/dl or 107 umol/L). Worldwide sepsis contributes to the death of 5.3

EMR 100
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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

Reliance on a billing dataset, instead of EMR or prospective data, likely affected the quality of outcome measurement. The heterogeneity of treatment effects was also assessed among different hemoglobin SS genotypes, levels of care, volumes of fluid resuscitation, and diagnosis of acute kidney dysfunction on admission.

ALS 128
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An EM Resident’s Guide to Basic Airway Management

Core EM

look them up in the EMR to see if theyve been intubated before, and look at the note on the difficulty and grade of view.) 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! fiber optic through the nose).

E-9-1-1 130