MARER 112 e. V., Verein für Notfallrettung und Unfallhilfe

14/11/2025

14/11/2025

13/11/2025

11/11/2025

07/11/2025

06/11/2025

06/11/2025

04/11/2025

Today’s episode of “I bet I can do it myself” 😬
A re**al foreign body requiring surgical intervention!
Take a look at this CT scan — can you guess what it is?

👇 Comment below with the most “creative” excuses you’ve heard in situations like this!

Most cases of re**al foreign bodies result from erotic experimentation gone wrong. Commonly retrieved items include vi*****rs, di**os, light bulbs, candles, shot glasses, and bottles. Occasionally, an object may have been swallowed first but ends up lodged in the re**um.

Patients are often understandably embarrassed to share what happened, and many have already made several unsuccessful attempts at self-removal before coming to the ER.

Typical symptoms include:
• Pain with defecation or abdominal discomfort
• Re**al bleeding or itching
• Constipation

Delays in seeking care — and multiple removal attempts — can worsen swelling and muscle spasm, making extraction far more difficult.

Sometimes, removal becomes a true surgical challenge depending on the object’s shape, material, and orientation within the re**um.

04/11/2025

31/10/2025

You're working a pediatric cardiac arrest, and IV/IO access is proving tough. What if you could give that first dose of epinephrine faster, without vascular access?

Now, if this sounds familiar, it's because Dr. Scott Youngquist's group in Salt Lake City published a paper which showed a survival benefit with IM Epi in OHCA.

His data prompted this study we review below, which asks "Can IM epinephrine via autoinjector speed up that first life-saving dose in pediatric OHCA?"

Here’s what they found ⬇️

Study Design:
66 paramedics randomized to 3 groups:
• Scenario: School-aged child in asystole
⓵ Standard IV/IO epinephrine
⓶ IM epinephrine with needle/syringe
⓷ IM epinephrine with autoinjector

Key Findings:
⏱️ IM Autoinjector = This was the fastest route.
➡️ Median time to first dose: 1:44
➡️ That’s 1.5 minutes faster than IV/IO (3:27) → p < 0.001

❌ Interestingly when the Epi IM was administered using a needle & syringe there was no time advantage & they found more dosing errors.

💉 The time to vascular access delayed by just 1:07 when using the autoinjector first.

Dosing Accuracy (within 20% of target):
• IV/IO: 95.5%
• IM needle & syringe: 90.9%
• IM autoinjector: 90.9%

Takeaways:
• IM autoinjectors may be a game-changer to beat that 5-minute clock for first-dose Epi
• While not a replacement for IV/IO, it gets Epi on board quickly
• Pre-filled syringes or optimized pediatric-specific autoinjectors might be a next step

Conclusion:�In a controlled simulation, IM epinephrine via autoinjector was significantly faster for that crucial first dose, and could be a valuable tool in real-world pediatric cardiac arrests, especially in rural or resource-limited settings

📚 Read the full study here: https://ow.ly/ugy250XeSK6

31/10/2025

Welt-Schlaganfalltag 🧠⏳