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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. 12 An AP x-ray of the pelvis should be obtained in the ED for unstable patients.

ED 54
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Case Report: a High-Voltage Victim

ACEP Now

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

This study chose a relevant topic to analyze that could influence acute management in the ED and has a fairly larger sample size of patients to do so. The impact of push-dose phenylephrine use on subsequent preload expansion in the ED setting. 2015;10(3):e0119331. PMID: 25789927 Schwartz MB, et al. Am J Emerg Med.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. 4 Pain is the most common reason for presentation in the early post operative period. 2016 Mar 21;8(1):6253.

EMS 75
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New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

ACEP Now

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Bailey & Love’s short practice of surgery, 26th ed. 2016; 23:386-90.