Traumatic Brain Injury (TBI)
Overview Definition Traumatic brain injury (TBI) is a nondegenerative, noncongenital insult to the brain from an external mechanical...
Pediatric Advanced Life Support (PALS): Asystole/Pulseless Electrical Activity (PEA)
PALS: Pediatric Arrest 1. The initial evaluation is as follows: [1, 2, 3, 4] Activate emergency response system. Initiate pediatric basic...
Best Practices in the Management of Vasodilatory Shock: A Call for Collaboration
Sepsis and Septic Shock: Medical Emergencies! Consider steroids when/if a second vasopressor is required Emergency departments (EDs) try...
Cyanide Toxicity
Practice Essentials Cyanide toxicity is generally considered to be a rare form of poisoning. However, cyanide exposure occurs relatively...
Pregnancy Trauma
Background The pregnant trauma patient presents a unique challenge because care must be provided for two patients—the mother and the...
Supraventricular Tachycardia in Pediatric Patient With Wolff-Parkinson-White Syndrome
This ECG was obtained from a 13-year-old boy who had previously been in NSR. At that time, he was diagnosed with Wolff-Parkinson-White...
ECG Basics: Third-degree AV Block, Complete Heart Block
This rhythm strip shows third-degree AV block, also called complete heart block or complete AV block. The P waves are from the sinus...
Acute Respiratory Distress Syndrome
Background Since World War I, it has been recognized that some patients with nonthoracic injuries, severe pancreatitis, massive...
Spontaneous Ankle Pain After a Course of Antibiotics
A 62-year-old man presents with pain in the back of his right ankle. He was walking to the shops when he suddenly heard a loud ‘snap’. He...
Los lesionados medulares serán derivados a Vall d’Hebron
Un protocolo establece que ante un paciente con daño medular pero sin riesgo vital, el SEM ha de priorizar su traslado al hospital...