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Case Report: a High-Voltage Victim

ACEP Now

Thick, dry, and calloused skin of a construction worker can have as much as 100 times more resistance than the previous example. 4 This may lead to more heat dissipated at the skin with impressive burns to skin, but less transmission of electricity to deeper tissues. High voltageā€ is defined by texts as 600 V and 1,000 V. Click to enlarge.)

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

EMDocs

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. Conceptually, pelvic ring fractures are similar to breaking a hard pretzel.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2016 Feb;30(1):3-11. On this 10 year anniversary, we chose to throw this one back in the oven to include some even more delicious data on cuffed endotracheal tube (ETT) use. Cuffed Endotracheal Tubes: Evolution of Thought and Technology Why did we historically use uncuffed endotracheal tubes in kids younger than 8? 0.41), p < 0.001.

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In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medicalā€™s Greg Mielke

Medgadget

Greg Mielke, Preceptis Medical: Today, approximately one million children undergo ear tube procedures annually in an operating room in the United States. However, ear tube procedures conducted in an operating room under general anesthesia can be traumatic for both children and parents well before the procedure begins and after it ends.

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Potato vs Potato

FOAMfrat

An Emergency Nurse since 2016 with prehospital experience starting in 2019 with a ground service where I was a paramedic-exempt nurse at the beginning of 2019. During Orientations, new crew members must do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field. Take a movement.

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

REBEL EM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

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New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

ACEP Now

Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. 2016; 23:386-90. 5 Untreated, nearly all patients die. J Vasc Surg.