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Post-Intubation Sedation and Analgesia

Core EM

Shehabi 2012 ) The multi-center cohort ED-SED study examined 324 mechanically ventilated patients. Patel 2012 ) Peri and Immediate Post Intubation Sedation When using a long-acting paralytic (rocuronium and vecuronium), it is essential to provide a sedative and amnestic through the duration of the paralysis.

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Optimizing Trauma Resuscitation Education: A Year-Long In-Situ Simulation Curriculum

Core EM

A review by Steinemann et al. Similarly, Miller et al. Multiple studies have demonstrated the effectiveness of in-situ simulation training in trauma care. showed that ISS training led to improvements in team communication, leadership, and resource management [1]. In situ simulation-based trauma team training: A pilot study. Miller, R.

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The Broselow-Luten System

Pediatric EM Morsels

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight. and Seaver, M. Rosenberg, M.S.

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SAEM Clinical Images Series: Retrobulbar Spot Sign

ALiEM

2012 Dec;33(7):E263-E267. Epub 2012 Sep 21. Nedelmann, Matt et al. 2015;46:2322–2324 [link] Smith, Austin T et al. The retrobulbar “spot sign” as a discriminator between vasculitic and thrombo-embolic affections of the retinal blood supply. Ultraschall Med. doi: 10.1055/s-0032-1312925. PMID: 23023446.

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Acute Transverse Myelitis in Children

Pediatric EM Morsels

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 27,11 (2012): 1426-36.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

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Thrombotic Thrombocytopenic Purpura (TTP)

Core EM

Scully, 2012) Citations: Balduini CL, et al. Paydary, Koosha, et al. Sawler D, Parker A, Britto J, et al. 2020.05.045. Scully M, Hunt BJ, Benjamin S, et al. TTP relapse (new case onset that occurs 30 days after discontinuation of remission achieving interventions) occurs in approximately 1/3 of patients.

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