https://emergencymedicinecases.com/anaphylaxis-anaphylactic-shock/#
Kounis syndrome and more about #anaphylaxis
#FOAMed #FOAMcc #emergencymedicine #emergencydepartment #emergencyphysician
https://first10em.com/pediatric-front-of-neck-access/
One of the scariest situations and probably the less evidence-based procedure in #emergencydepartment and #CriticalCare
The Pediatric FONA
https://first10em.com/i-have-been-doing-this-for-10-years/
"Emergency Medicine is incredibly hard I think it is a reflection of that difficulty that we seem to spend so much of our personal time learning; way more, as far as I can tell, than other professions"
https://youtube.com/watch?v=jFz1WN8LY9A&si=L0ay3YoGmzoi8rTA
Good #personal definition of #status epilepticus #FOAMed #FoamEm #emergencymedicine #emergencydepartment #FOAMcc
Pt admitted with sups sepsis from infected diabetic foot ulcer. Increasingly hypotensive and hypoxic through night. Put on NA, HFNC. SA in blood culture and systolic heart murmur, routinely performed TEE #Echofirst #FOAMed #FOAMcc #FOAMus
Important point: don’t be fooled by a hyperdynamic ventricle, could be due to valvular or mechanical complication. #EuroEcho #foamcc
RE: https://bsky.app/profile/did:plc:wl5zwdwkg4kqg25gtxbepfh4/post/3lb2upkv7of22
A wee bit of circulation simulation with #Circadapt (http://circadapt.org/) of severe acute AR. Purple: aortic root, red LV, green aortic valve. Reference: no AR, HR 70, MAP 92. Snapshot: 25% area AV deficit (1cm2 "ROA"), HR70. Current: HR increased to 120 #FOAMed #FOAMcc 1/7
A tiny tip: you can measure RR with M-mode if breathing is regular! #foamus #FOAMed https://cloud.butterflynetwork.com/-/shared/3B4gR72yQTCTNdmxlN9Kvg?utm_source=image_share_sheet #FOAMcc
"SGEM Bottom Line: Early stroke identification is important but can be difficult in the pre-hospital setting even with the existing tools"
Via @thesgem
As ED doc involved also in pre-hospital emergency shifts, I totally agree.
Still searching for a reliable "EKG of the brain".
#FOAMed #emergencydepartment #PrehospitalCare #FOAMcc #FOAMresus #stroke #emergencydocs
https://first10em.com/gestalt-is-better-than-decision-tools-for-identifying-sepsis/
Gestalt is better than decision tools for sepsis... like to say that tools are just tools, not thinking brain?
#FOAMed #FOAMcc #FOAMresus #CriticalCare #emergencymedicine #emergencydocs
#echofirst views of the right ventricle.
#POCUS #FOAMcc #Nephpearls
Courtesy: Bulwer, B.E. (2022) doi 10.1007/978-3-030-83864-5_21
🕊️ PEACE Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference
⚙️ influence of #ECLS circuit & components
💉 anticoagulant medications
🎯 monitoring & targets
🧪 monitoring & replacement of AT, fibrinogen, vWF
💉 antifibrinolytic & adjunct hemostatic agents
🔪 perioperative period
🩸 bleeding & thrombotic complications
🔍 priorities for clinical Research
#FOAMcc #FOAMecmo #PedsICU
Summary 🔓 https://bit.ly/3RU7l5c
& special issue 🔓 https://bit.ly/3XVOqL7