Initial Presentation
The Swarm
Drawing Blood From IVs
Blood draws from EMS iv
Draw everything
Labs keep extra tubes
Is it ok to draw from EMS Lines? Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review [10.1177/2054270419894817]
Second Line
18 G
Should we be placing in the AC?
Future Show: Upping your IV Game
Fluids
Get dinged for <30 mls/kg?
Which fluid?
Bolus
Rectal Temps
J Emerg Med 2002;22(2):153-7)
and
West J Emerg Med 2011;12(4):505
Antibiotics
Simultaneous antibiotics
Broad Spectrum First, Injectable First
What Nursing Ratio?
Rechecks
What are You Looking For?
Vitals repeat bp
Repeat lactate
Getting Worse
Sepsis BP RollerCoaster
Peripheral Vasopressors
[] Peripheral Vasopressor Protocol
map<65
fluids first or vasopressors first
Start High
What nursing Ratio?
1:2
Future Episode: Vasopressors and Inotropes
Pass the Plastic
verbal orders written orders readback
resus in situ vs resus room
Future Shows: Intubation, Post-Intubation Package, Post-Intubation Sedation, ICH Management
What Nursing Ratio?
1:2
2nd Vasopressor
future episode: nurse-led code
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Additional Resources
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
