The Targeted temperature management Trial compared outcomes for therapeutic hypothermia at 33°C versus 36°C for cardiac arrest patients with persistent coma. It may very well be practice changing. Or maybe not. Before we can figure out what “truth” this research study may have uncovered, we will look at the development of therapeutic hypothermia and what the literature has already told us.
Glucagon Emergency Kit is an an injectable form of glucagon available for treatment of hypoglycemia, beta-blocker overdose, calcium channel overdose, or impacted food bolus. Knowing how to preparation the Glucagon Emergency Kit is time critical knowledge in the ED.
The pain of pressure or bumping an swollen inflamed olecranon bursitis is often quite severe. A foam elbow pad can prevent direct impact and avoid causing additional pain. This how-to tutorial will show you how to make one from materials around your department.
Over-wedging of a pulmonary artery catheter can lead to pulmonary artery rupture. This can be caused by an eccentric wedge, which traps the catheter tip against the vessel wall causing fluid to build up increasing the pressure in the trapped cavity.
Transient vagal stimulation from the removal of the CVC and carotid massage from holding pressure to achieve hemostasis can lead to excessive vagal tone which caused blockage of the AV node leading to transient asystole cardiac arrest.
EMS and emergency physicians responding to bombs and explosions need to understand the unique patterns of injuries and key concepts of emergency care including mechanisms, evaluation, and initial treatments based on Disaster Medicine best practices.
There are congenital variations from the normal coronary artery anatomy that have significant clinical importance. There are many permutations of the origin site and course of the three primary coronary arteries (left anterior descending, left circumflex, and right coronary artery)
Sometimes imaging can reveal remarkable physiology. A 40-year-old man presented with profound fatigue and abdominal pain that had begun the day before but substantially worsened over the last 12 hours. He reported not experiencing any chest pain, shortness of breath, nausea/vomitin
1. You local fire department responded to an incident at the courthouse where about ¼ teaspoon of white powder spilled from an envelope that contained payment for a parking ticket. What level of decontamination is required for the person handling the letter and those in the room? A