CHF Exhacerbation

Epidemiology + Pathophysiology CHF exacerbation is a common issue that is encountered by EMSApproximately 5 million Americans have congestive heart failureIt is the most common reason for hospitalization for patients over the age of 65Nearly 50% of patients diagnosed with CHF will die within 5 yearsCongestive Heart Failure is the heart's inability to adequately pump … Continue reading CHF Exhacerbation

Mixing D10

Remember, D50 and D10 are concentrations... NOT dosesThe adult dose of D50 is 25 gm. The same amount is in a 250 ml bag of D10 (just more diluted)To administer an adult dose of D10 attach the 250 ml bag to the IV port and let the D10 run in until the bag is empty.Remember, … Continue reading Mixing D10

Cardio-Cerebral Resuscitation (CCR)

What is CCR? Cardio Cerebral Resuscitation (CCR) is a systematic approach to delivering resuscitative care to the patient in cardiac arrest. It is comprised of three pieces: Hands only bystander CPRPrehospital provider CPR focusing on high quality compressions with minimal interruptions, early defibrillation and administration of epinephrine when appropriateTransport to a cardiac arrest center. This … Continue reading Cardio-Cerebral Resuscitation (CCR)

Normal Hemodynamic Monitoring Values

Normal hemodynamic monitoring values for quick reference. There will be posts in the future going over each value and it's clinical significance. Cardiac Index (CI) 2.5-4.2Cardiac Output (CO) 4-8Central Venous Pressure (CVP) 2-6Pulmonary Artery Pressure (PA):Systolic 15-25Diastolic 8-15Pulmonary Capillary Wedge Pressure (PCWP) 4-12Pulmonary Vascular Resistance (PVR) 37-250Systemic Vascular Resistance (SVR) 800-1300Stroke Volume 60-135

Normal Arterial Blood Gas (ABG) Values

Normal Arterial Blood Gas (ABG) Values for quick reference. There will be posts in the future covering the values and their clinical significance. Anion Gap 12+/-4Base Excess +/-3Sodium Bicarb (HCO3) 22-26Partial Pressure Arterial CO2 (PaCO2) 35-45Partial Pressure Arterial O2 (PaO2) 70-105Oxygen Saturation 96-100pH of Arterial Blood 7.35-7.45