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PARAMEDIC-3 Trial: Drug Route in OHCA Nov 07, 2024

In response to the uncertainty of which route is better for drug administration in Out-of-Hospital Cardiac Arrest (OHCA) ie., intraosseous (I/O) or intravenous (IV), "we conducted the...

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Papercut: I/O vs IV Access in OHCA Nov 07, 2024

This study looked at the use of intraosseous (I/O) versus intravenous (IV) routes for drug administration in out-of-hospital cardiac arrest (OHCA).

Advanced Life support guidelines require the...

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Hypertensive Emergencies Nov 07, 2024

Hypertensive emergencies are defined as sudden and prolonged increases in the arterial blood pressure, with associated organ damage. The degree of increase above that which the patient normally...

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VL vs DL for intubating Neonates Nov 07, 2024

I would consider intubation of the neonate(<28 days old) to be a very stressful event. This is not only because the size of the patient makes it technically potentially more difficult, but...

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EM Mastery
Podcast Interview: A Case of Exertional Heat Stroke
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Podcast Interview: A Case of Exertional Heat Stroke Nov 02, 2024

This week we have a podcast with special guest Dr Will Davies, who takes us through a recent interesting case he had of exertional heat stroke. Below is a rapid summary of exertional heat stroke.

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Does Induction Agent Choice Affect post intubation hypotension? Nov 02, 2024

Rapid sequence intubation can be associated with peri or post intubation hypotension and in a small group of patients, cardiac arrest. In the lecture on Resuscitative sequence intubation (July 2024...

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Mastery: The New PECARN C-Spine Rule: Interview with a PEM Physician Nov 02, 2024

Cervical spine injuries in children are uncommon and radiation risk from CT scans can be significant. We don’t have specific paediatric prediction rules for potential cervical spine injuries...

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Does reduced dose induction agent affect post intubation hypotension? Oct 26, 2024

Post Intubation hypotension has been linked to induction agents, although the studies for this are few. It is moreso related to age and Shock Index. In a registry-based study there was no...

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PODCAST: Ultrasound in Cardiac Arrest Oct 24, 2024

The Use of Ultrasound in Cardiac Arrest: An Interview with Professor Paul Middleton.

The use of ultrasound in cardiac arrest has increased significantly. The false belief that we need to be ECHO...

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Bubble Time to diagnose Right Ventricular Failure Oct 24, 2024

Right Ventricular(RV) failure presents a significant challenge in the emergency department. It can affect our resuscitative efforts. The only way to diagnose it is with echocardiography. That may...

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Choosing your IV fluids Oct 24, 2024

Dr Andrew Perry takes us through fluid choices.

 

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Ventilation: It's all about the flow Oct 24, 2024

Dr Steve Pincus discusses pressure-contolled ventilation.

 

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Papercut: The DEFI 2022 Study Sep 24, 2024

There is a significant difference in Out of Hospital Cardiac Arrest (OHCA) survival, in the order of 10 to 20 times, between non-shockable(2% survival) and shockable rhythms(25-50% survival) (1).

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Pustules and Vesicles in Infants < 60 days old Sep 24, 2024

When an infant of <60 days of age presents with skin lesions such as pustules or vesicles and there is a fever, there are algorithms that we can use to predict the chance of a serious bacterial...

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Anaphylaxis: An Interview with Dr Ben McKenzie Sep 22, 2024

I recently had the pleasure of speaking to Dr Ben McKenzie, Emergency Physician and researcher into anaphylaxis. Ben has developed the AMAX 4 algorithm. The AMAX4 algorithm gives a cognitive aid to...

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QRS Fragmentation Sep 18, 2024

A patient is brought to the emergency department with a complaint of central pressing chest pain. The patient's ecg is shown below. Is this QRS fragmentation (QRSF) and what does that mean?

It has...

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Does IM Adrenaline improve survival in OHCA? Sep 08, 2024

Adrenaline is recommended for all cardiac arrests not due to shockable rhythms and is associated with increased survival, especially if given in the first 10 minutes post arrest (1).

The rate...

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Impact of time to Defibrillation on ROSC Sep 05, 2024

The rates of Pulseless Electrical Activity (PEA) in out of hospital cardiac arrests (OHCA) is rising, however survival from PEA is low. The majority of survivors from OHCA have an initial rhythm of...

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Blowout Fracture and the Oculocardiac reflex Sep 04, 2024

 

When you're suspicious of entrapment in an orbital floor blowout fracture following trauma, you ask your patients to look up, to check for diplopia. Do you cardiac monitor them when you do...

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Status Epilepticus Sep 01, 2024

How do you manage the patient in Status Epilepticus? Dr Michael takes us through the treatment of status epilepticus in this Clinical Podcast. 30% of patients have refractory status epilepticus....

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The Asthma Patient from Hell Aug 29, 2024

 The ambulance phone rings. They are 5 minutes away with a 32 yo patient with history of asthma who has had two hours of shortness of breath and wheeze. She has a heart rate of 120bpm, a...

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Pressors in Trauma Aug 29, 2024

Dr Andrew Perry Presents this months lecture

 

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The PROFUNDUS Study Aug 28, 2024

A 62 yo patient with a previously diagnosed spontaneous coronary artery dissection (SCAD) presents with sudden onset 10/10 central severe chest pain. Examination is normal, with no pulse deficit...

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