The Ventilator Screen- those numbers!

The Ventilator Screen- those numbers!

The Ventilator Screen- those numbers! – Critical Care Practitioner 1. Total number of breaths (RR)– These could be mandatory breaths that the ventilator will always take, or could include some spontaneous breaths that the patient has also initiated. As the patient is weaned off the ventilator they could all be breaths initiated by the…

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Why do we Intubate?

Why do we Intubate?

Believe it or not we don’t intubate people to put them on a ventilator. Rather we put them on the ventilator because we have had to intubate them.  So why do we need to intubate them? Let’s work our way through using an ABCDE approach. Airway The patients airway may be compromised. This could be initially supported…

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Cardiac Electrical Pathways

Cardiac Electrical Pathways

The electrical signal which drives the contraction of the heart takes a very specific pathway in the normal heart.  It is the re routing of this pathway, through various pathologies, that causes the ECG to change. So in this post lets look at the structures involved. Sino-Atrial Node (SA Node) Located in the wall of the right atrium….

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Cardiac Myocyte Cells- Action Potential

Cardiac Myocyte Cells- Action Potential

Cardiac Myocyte Cells- Action Potential – Critical Care Practitioner In a previous blog post we covered the action potential of the cardiac pacemaker cells- sino atrial node, atrio ventricular node and the Bundle of His. In this post we can go on to look at the action potential of the muscle cells of the…

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Cardiac Pacemaker Cells- Action Potential

Cardiac Pacemaker Cells- Action Potential

In order to properly understand the 12 lead ECG as well as the many drugs we use to affect our patients heart rate and blood pressure it is important to understand the electrical activity that goes on within the heart itself. So this quick blog post aims to do just that! We start by discussing the cardiac…

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Are You Pausing Too Long During CPR? – REBEL EM

Are You Pausing Too Long During CPR? – REBEL EM

Background: Outside of early defibrillation and high-quality CPR, little has been shown to improve outcomes in out-of-hospital cardiac arrest (OHCA). In theory, rapid identification of the underlying cause of arrest can be beneficial. Many emergency clinicians have adopted Point-of-care ultrasound (POCUS) into cardiac arrest care by for this reason. Ultrasound is a rapid bedside tool that…

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SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

Background Information:  Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit (ICU). While intravenous fluid replacement remains one of several cornerstones of therapies, much debate exists on exactly which IV fluid results in faster DKA resolution with less adverse events. While…

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