Tamingthesru
Grand Rounds Recap - 12/3/2014
EMS Protocol Updates for 2015 with Dr. Leblanc
Use of EMS units as transport units
- If pt is transported to a facility that is not capable of taking care of the pt, you may be able to use the same squad to transport the pt to another facility
- Need to have an accepting doc
- May need to send additional personnel with the squad
Hypotension/Shock protocol
- Push dose Epi regardless of type of shock - 1 ml of cardiac Epi into 9 mls of NS flush
- 1 ml q1-2 min
- For more info - EMCrit Podcast on Push Dose Pressors
- No more Dopamine!
Grand Rounds Recap - 11/19/2014
Mortality and Morbidity Conference with Dr. Gozman
Thrombocytopenia
Always consider medications as a key cause of throbocytopenia
Recommendations for platelet transfusion currently include:
- Patients on chemotherapy with <10K
- Patients requiring central venous access with <20K
- Patients requiring an LP with <50K
- Patients requiring non-neurologic surgical interventions with <50K
- Patients requiring CNS surgical intervention with <80K
There is not data to support platelet transfusion in patients with intracerebral hemorrhage on an antiplatetlet agent
EmergencyKT Highlights: Evaluation and Treatment of Pneumonia
Empiric antibiotics for pneumonia in the Emergency Department is complex, and the choice only gets harder when it’s 3:00 am with 15 patients in the lobby. Fear not, the Suspected Pneumonia Protocol is here to help. Here are the highlights: