Cool effectively, cool aggressively.. I’m seeing more literature about cold water immersion in the ED providing hyperthermic patients with better outcomes;
http://www.aliem.com/heat-stroke
And don’t forget the part that benzodiazepines play in settling the hot, agitated patient.
Where I work, summer is just about upon us – here’s a reminder of some important points from the gang at EMDocs;
An excellent review of how this works – be sure to watch the videos;
http://emergencymedicineireland.com/2015/09/hypoxia-in-pulmonary-embolus
This makes a difference, and not all first responders are created equally;
Review of the REVERT trial – 43% success (vx 17%) !
EMCrit chats to Tom Bleck, the founding president of the Neurocritical Care Society;
Infrequently encountered pre-hospital in my experience, handy to have a background and understand that this is a painful presentation;
http://emergencymedicinecases.com/emergency-management-of-sickle-cell-disease