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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Deeper Compressions During CPR Lead to Improved Survival

Authors: Stiell IG et al., Circulation 2014 Sep 24; A large prehospital study found that survival was highest when chest compression depths were between 4.0 and 5.5 cm. In 2010, the American Heart Association (AHA) suggested an increase in the target depth of chest compressions to at least 5 cm. However, there have been no […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Blood Product Resuscitation of the Exsanguinating Trauma Patient

Authors: Simms ER et al., J Am Coll Surg 2014 Aug 219:181 For trauma patients who present with severe hemorrhage, using a FFP:PRBC ratio ≥0.7 during resuscitation may be beneficial. Research has shown that using higher ratios of fresh frozen plasma (FFP) and platelets to packed red blood cells (PRBCs) in the resuscitation of exsanguinating […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Transfusion Thresholds Should Be Conservative for Patients with Septic Shock

Authors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’recommendation for a transfusion hemoglobin target of 7 to 9 g/dL […]

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Uncategorized Published - 10 March, 2015    By - Dr Clemens
Overuse of Opioids for Headache Treatment in U.S. EDs

This is important for our chronic pain providers to be aware of this problem. Authors: Mazer-Amirshahi M et al., Am J Emerg Med 2014 Sep 32:1068 Nationwide, opioids were administered at 35% of ED visits for headache in 2010. Treatment of primary headache disorders (migraine, tension headache) with opioids is not recommended and is more […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
Ultrasound Guidance Superior to Landmark Technique for Pediatric Central Line Placement

Authors: Gallagher RA et al., Acad Emerg Med 2014 Sep 21:981 Ultrasound guidance resulted in a higher success rate, with similar rates of complications. Ultrasound-guided central line placement has shown mixed results in the pediatric population. These investigators retrospectively evaluated success and complication rates of central line placement by pediatric emergency physicians with and without […]

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