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Life in the balance: Why fluid choice matters in the Emergency Department

Life in the balance: Why fluid choice matters in the Emergency Department

by Bo Zheng, Richard Hoang, Shankar Sethuraman | May 2, 2019 | Grand Round Summaries

IV fluid is a drug Intravenous fluid administration is the second most common medical intervention next to supplemental oxygen.1  Over 200 million liters of normal saline (NS) is used in the United States annually.2 Intravenous fluids, like any other drug, should be...
Consent for resuscitation of incapable patients in the Emergency Department

Consent for resuscitation of incapable patients in the Emergency Department

by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 18, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation

In the second part of this two-part series, Dr. Michael Wong discusses the process for obtaining consent for incapable persons in the Emergency Department. For a review of a rational and patient-centered approach to difficult discussions in the Emergency Department...
A How-to Guide to Goals of Care Discussions in the Emergency Department

A How-to Guide to Goals of Care Discussions in the Emergency Department

by Michael Wong, Richard Hoang, Shankar Sethuraman | Apr 11, 2019 | cardiac arrest, Critical Care, Grand Round Summaries, Patient Advocacy, Resuscitation

In this two-part series, Dr. Michael Wong begins by reviewing a rational and patient-centered approach to difficult discussions in the Emergency Department around goals of care and resuscitation. In part two, we discuss the process for obtaining consent for incapable...
Mechanical CPR: Past, Current, and Future

Mechanical CPR: Past, Current, and Future

by Justin Godbout, Richard Hoang, Shankar Sethuraman | Mar 14, 2019 | cardiac arrest, Critical Care, Featured, Grand Round Summaries, Pre-Hospital, Resuscitation

Mechanical CPR is a technology whereby a machine performs chest compressions in place of a human provider. These devices are becoming increasingly prevalent in the prehospital and in-hospital arenas, and it is inevitable that healthcare providers will interact with...
Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial

Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial

by Hans Rosenberg | Oct 22, 2018 | Journal Club, Resuscitation, Trauma

Journal Club Summary Methodology: 3.5/5           Usefulness: 3.5/5 Moore HB, et al. Lancet. 2018 Jul 28;392(10144):283-291.  Editorial: No gains with plasma-first resuscitation in urban settings? Question and Methods: Use of prehospital plasma in patients with...
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