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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

The American College of Emergency Physicians (ACEP) and American College of Surgeons Committee on Trauma (ACS COT) in 2018 put out a joint statement for the use of REBOA [4]. Population: All adult (over 18 years of age) patients in the ACS-TQIP database from 2015-2016.

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Elbow Dislocations

REBEL EM

2016 Jan 6;17:6-11. PMID: 32644703 Robinson PM, Griffiths E, Watts AC. 2016 Jul;24(7):413-23. PMID: 27227986 Glover NM, Black AC, Murphy PB. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Am J Case Rep. doi: 10.12659/ajcr.894984. 2023 Aug 4. 2023 Nov 5.

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SGEM#332: Think Outside the Cardiac Box

The Skeptics' Guide to EM

Date: May 20th, 2021 Guest Skeptic: Dr. Robert Edmonds is an emergency medicine physician in the Air Force in Dayton, Ohio, and a University of Missouri-Kansas City residency alumni from 2016. Journal of Trauma and […] The post SGEM#332: Think Outside the Cardiac Box first appeared on The Skeptics Guide to Emergency Medicine.

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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

REBEL EM

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

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Steroids in preschool wheeze

Don't Forget the Bubbles

The most recent meta-analysis , published in 2016 (comparing eleven studies from 1986 to 2009), struggled to reach a consensus because the trials were too heterogeneous to make robust conclusions. 2016 Aug;51(8):868–76. Annals of Emergency Medicine. 2016 May;67(5):593-601.e3. Pediatr Pulmonol. Cochrane Database Syst Rev.

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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. Vital signs were within normal limits on arrival to the Emergency Department. Am J Emerg Med. 2016 Nov;34(11):2182-2185. Epub 2016 Aug 27. or basilar ischemia.

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Penetrating chest trauma

Don't Forget the Bubbles

A recent review was conducted on Trauma Quality Improvement Program data between 2014 and 2016. Interim results presented earlier this year show that REBOA performed within the Emergency Department increased mortality. b) Emergency thoracotomy Let’s be clear: YOU will not be doing any of this. Injury 2016; 47: 797– 804.

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