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Emergency Medicine Bedside Reference

Emergency Medicine Clinical Reference

Evidence-based resuscitation algorithms, clinical risk calculators, emergency medications formulary, point-of-care ultrasound, and peer-reviewed shift protocols.

243 Clinical Protocols • 45 Emergency Medications • 6 Bedside Calculators • 16 Chief Complaints

Resuscitation & Critical Interventions

Immediate critical pathways, code doses, pressor recipes & cardiac arrest protocols.

Push-Dose Pressors Bridge to Line

Epi (10 mcg/mL): 0.5–2 mL (5–20 mcg) q2–5m.

Phenylephrine (100 mcg/mL): 0.5–2 mL (50–200 mcg) q2–5m.

Aim MAP ≥ 65 mmHg in peri-intubation shock.
Lipid Rescue (LAST) 20% Intralipid

Bolus: 1.5 mL/kg IV over 1 min (~100 mL for 70 kg).

Infusion: 0.25 mL/kg/min; max 10 mL/kg in 30 min.

Local anesthetic systemic toxicity antidote.
Status Epilepticus Timing Rules

0–5m: Lorazepam 4 mg IV (or Midazolam 10 mg IM).

5–15m: Keppra 60 mg/kg IV or Fosphenytoin 20 mg PE/kg.

Refractory (>20m): Propofol / Versed infusion + RSI.
Anaphylaxis First-Line IM Only

Adult: Epi 1:1,000 0.3–0.5 mg IM anterolateral thigh.

Peds: 0.01 mg/kg IM (max 0.3 mg) q5–15m.

Never IV push 1:1,000; give IM immediately.
ACLS Cardiac Arrest Shockable vs Non

VF / pVT: 200 J defib → Epi 1 mg q3–5m → Amiodarone 300 mg.

PEA / Asystole: Immediate CPR + Epi 1 mg IV q3–5m; search 5 H's & 5 T's.

Minimize CPR interruptions (<10s rhythm check).
RSI Airway Dosing Induction + NMB

Induction: Etomidate 0.3 mg/kg or Ketamine 1.5–2 mg/kg IV.

Paralysis: Rocuronium 1.2 mg/kg or Succinylcholine 1.5 mg/kg IV.

Sugammadex 16 mg/kg for immediate Roc reversal.
MTP Hemorrhagic Shock 1:1:1 Ratio

MTP Ratio: 1 PRBC : 1 FFP : 1 Platelets.

Adjuncts: TXA 1g IV over 10m (<3h) + Ca Gluconate 1–2g per 4u PRBC.

Avoid hypothermia, acidosis & hypocalcemia.
Hyperkalemia Triad ECG Changes

Stabilize: Ca Gluconate 10% 10–30 mL IV (or CaCl2 10 mL central).

Shift: Regular Insulin 10u IV + D50W 50 mL + Albuterol 10–20 mg neb.

Repeat ECG post-calcium; recheck K+ at 60m.

Clinical Reference Suites

Dedicated clinical tools, formulary references, and board prep resources.

Clinical Protocols Library 243 Shift Modules Across 12 Tracks

Evidence-Based Emergency Protocols & Decision Guides

Full step-by-step algorithms, diagnostic criteria, dosing tables, and disposition rules. Search all 243 protocols with live filters and shift table view in the dedicated protocols library.

Open Protocols Directory (243)