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Tank. Clogged Pipes. Broken Pipes. Pump. Introduction “Tank” Hypovolemic shock Hemorrhagic shock “Clogged Pipes” Cardiac tamponade Tension pneumothorax Pulmonary embolism “Broken Pipes” Septic Shock Neurogenic Shock Anaphylactic Shock “Pump” Cardiogenic Shock Step 1: Fill the Tank Establish an IV IO line alternative in emergent situations Step 2: Consider Clogs Cardiac tamponade Diagnosis: Ultrasound Treatment: Pericardiocentesis […]

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Hypoxemia fixed by only TWO things: FiO2 and PEEP Step 1: Add FiO2 If the patient is breathing… Nasal cannula Non-rebreather mask If the patient is NOT breathing… Bag-valve mask Step 2: Add PEEP *Cannot be completed in 60 seconds, but equipment can be requested If patient is breathing… BiPAP If the patient is NOT […]

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“Airway” does not necessarily mean “Intubation” Introduction In emergency medicine we are taught “A-B-Cs” These are actions that can be accomplished in first 60 seconds of patient encounter Intubation takes several minutes to accomplish Intubating a crashing patient might even KILL them! Resuscitate THEN intubate Step 1: Suction Immediately suction if patient is… Altered and […]

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Don’t forget to wear protective gear. Gown up! Initial Encounter History Anticoagulants Easy bleeding/bruising Lightheadedness Exam Pallor Tachycardia/Hypotension Step 1: Put on Personal Protective Equipment Gown Gloves Mask Eye Protection Step 2: Clear Nose and Visualize Bleeding Have patient blow out/remove any clot and look for source of bleed Kiesselbachs plexus “Anterior” epistaxis Sphenopalatine artery […]