ACEP Now

APRIL 3, 2024

1,2 However, the European TTM1 trial in 2013 showed similar outcomes for those cooled to 33 degrees Celsius compared to 36 degrees Celsius, leading to a 2015 AHA class I recommendation of “cooling between 32 degrees Celsius-36 degrees Celsius.” In a multisite retrospective cohort study, a study by Nishikimi, et al., N Engl J Med.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

Core EM

JANUARY 25, 2024

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

ICU 247

ICU Emergency Department Critical Care ALS 247

Core EM

JANUARY 25, 2024

11 Geriatric trauma patients require increased immediate and delayed ICU resources compared to younger counterparts with the same injuries. Perdue &al. Caterino &al. Sterling &al. Liu &al. Gill &al. Demetriades D &al. Goode &al. Hasegawa &al. Li &al.

ALS 246

ALS ED ICU OR 246

EMDocs

SEPTEMBER 25, 2023

Despite the risk of hypotension and bradycardia, propofol has been shown in the ICU setting to be a safe and effective monotherapy intubation agent for hemodynamically unstable patients (19). References: Heffner AC et al. Resuscitation 2013; 84(11): 1500 – 4. PMID: 23911630 Kim WY et al. PMID: 23911630 Kim WY et al.

ED 88

ED Emergency Department ALS Paramedic 88

REBEL EM

AUGUST 12, 2024

The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. Intravenous amino acid therapy for kidney protection in cardiac surgery a protocol for a multi-centre randomized blinded placebo controlled clinical trial.

ICU 71

ICU Operating Room Critical Care ALS 71

EMDocs

JANUARY 16, 2024

He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. Carsten L, et al. 2013 Jan 24;368(4):394]. Monika BM, Martin D, Balthasar E, et al. Forti A, Brugnaro P, Rauch S, et al. 2018.09.018 Romlin BS, Winberg H, Janson M, et al.

Defibrillator 100

Defibrillator CPR Epinephrine Life Support 100

Don't Forget the Bubbles

OCTOBER 19, 2023

Secondary outcome analysis showed there was no difference in length of hospital stay, ICU stay, or duration of oxygen therapy. You’ve two options: Yes – give TXA No – don’t give TXA The 2013 CRASH 2 international multicentre RCT compared TXA with placebo in >20,000 adult trauma patients. However, Kornelson et al.’s

E-9-1-1 80

E-9-1-1 ED OR Emergency Department 80

Dr. Smith's ECG Blog

MAY 5, 2022

He was admitted to the ICU and transferred emergently to a facility where he could undergo emergent dialysis as a part of further evaluation and management. For an excellent State-of-the-Art Review on Brugada Syndrome — Please SEE this article by Brugada et al in JACC — Vol. The QRS is narrow and T waves are much less peaked.

E-9-1-1 52

E-9-1-1 OR STEMI ED 52

EMDocs

FEBRUARY 12, 2024

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). References/Further Reading (1) Byrne AL, Bennett M, Chatterji R, Symons R, Pace NL, Thomas PS. 2013 May;14(3):212-7. doi: 10.1136/emermed-2013-202879.

Emergency Department 98

Emergency Department E-9-1-1 ED ICU 98

ACEP Now

JUNE 14, 2024

4,6,11 Antibiotics Antibiotic use for AECOPD patients remains a contentious topic; however, data suggests AECOPD patients requiring admission, particularly to the ICU, should receive antibiotics. Adeloye D, Song P, Zhu Y, et al. Canut A, Martín-Herrero JE, Labora A, et al. Howton JC, Rose J, Duffy S, et al. Updated Feb.

ALS 52

ALS Coronary ED OR 52

EMDocs

JUNE 27, 2024

Critical Care Medicine 41(12):p A191, December 2013. Alkindi S, Al-Busaidi I, Al-Salami B, Raniga S, Pathare A, Ballas SK. Alghamdi FA, Al-Kasim F, Alshhada F, Ghareeb E, Azmet FR, Almudaibigh A, Baitalmal L, Alnawfal B, Alluqmani R. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. 2020 Feb 12;10(1):2470.

E-9-1-1 96

E-9-1-1 ICU ACS EMS 96

EMDocs

JUNE 7, 2023

Disposition is often admission to an intensive care unit (ICU) setting. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. References: Boostani R, Mellat A, Afshari R, et al: Delayed polyneuropathy in farm sprayers due to chronic low dose pesticide exposure.

E-9-1-1 98

E-9-1-1 ICU ED Plasma 98

Dr. Smith's ECG Blog

APRIL 9, 2025

Smida T et al. As a result I got to witness first-hand how the incidence of primary VFib appeared to dramatically decrease in our ICU as a result of the new practice at that time of using prophylactic Lidocaine on acute MI patients. But it does show a strong association of better outcome with lidocaine vs. amiodarone.

Defibrillator 69

Defibrillator STEMI ED Coronary 69

EMDocs

JANUARY 20, 2025

9 In terms of assessing volume status in general, Joseph et al. 11 A study by Stephan et al. Since the 2010s multiple trials have explored the feasibility of fluid restrictive resuscitation both on initial resuscitation in the ED, as well as in the intensive care unit (ICU). Andrews et al. Similar to Andrews et al.,

ED 75

ED ALS Emergency Department Critical Care 75

EMDocs

JANUARY 16, 2025

Carlton EF, Gebremariam A, Maddux AB, et al. Zimmerman JJ, Banks R, Berg RA, et al; Life After Pediatric Sepsis Evaluation (LAPSE) Investigators. Weiss SL, Fitzgerald JC, Maffei FA, et al; SPROUT Study Investigators and Pediatric Acute Lung Injury and Sepsis Investigators Network. Zhao C, Xin MY, Li J, et al. Emerg Med J.

ALS 92

ALS ICU Critical Care Emergency Department 92

FOAMfrat

NOVEMBER 21, 2024

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. Jessica Dawkins Mills BSN, et al. 2013 Apr 17;10(6):747-50. EMS Tactical Paramedic Lethal Triad.” PubMed , StatPearls Publishing, 5 May 2024, www.ncbi.nlm.nih.gov/books/NBK603758/.

ICU 119

ICU Emergency Department OR ED 119

Core EM

JANUARY 16, 2025

The 3/3/2 rule: Figure 3: how to perform the 3/3/2 rule (Image modified from UpToDate.com) If the patient has less than the specified measurement of 3, 3, or 2 fingers in these parameters, this is very specific (95%) for having a more difficult intubation (Mahmoodpoor, 2013)–although only about 25% sensitive.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130