Remove 2017 Remove ALS Remove Operating Room
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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

The Skeptics' Guide to EM

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. There have been some studies in various clinical settings (operating room, critical care and pre-hospital) that have demonstration benefit of apneic oxygenation.

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SGEM#205: Twist & Shout – Testicular Torsion

The Skeptics' Guide to EM

[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. AEM Dec 2017. display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. AEM Dec 2017. Might his examination be enough to convince the urologists to take him straight to the operating room without a preceding diagnostic ultrasound?

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

EMDocs

For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link]. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room. 2 Vertical shear fractures are also unstable.

ED 54
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Case Report: a High-Voltage Victim

ACEP Now

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

In these cases, CT may not be feasible and a plain radiograph showing free air or bedside US showing free fluid may be useful to confirm serious abdominal pathology prior to transfer to the operating room. doi:10.3390/cancers13092025 Pisano M, Zorcolo L, Merli C, et al. 2021.03.001 Bauman BD, Witt JE, Vakayil V, et al.

E-9-1-1 76
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Open reduction in the operating room may be required if closed reduction is unsuccessful. Overview of Operating Room Procedures During Inpatient Stays in U.S. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2017 May 26;114(20):347-353. Parvizi J, Tan TL, Goswami K, et al.

EMS 75
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Testicular torsion

Don't Forget the Bubbles

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. According to Sleeman et al., A systematic review and meta-analysis by Choudhary et al. and Al-Dhahir, M.A., This dropped to 79.3% 479 had confirmed torsion. Mellick, L.B.,