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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

AEM Dec 2017. 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? AEM Dec 2017. [display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Your index of suspicion for testicular torsion is high.

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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]. Introduction The pelvic ring is made up of the bony ilium, ischium, pubis, and sacrum, which are held together with ligaments. Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring.

ED 54
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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 voltage” is defined by texts as 600 V and 1,000 V. Click to enlarge.)

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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 2-3 Risk Factors CRC is the most common underlying etiology of LBO.

E-9-1-1 77
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 76
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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. The gold standard – the only way you will really know if there is a torsion or not – is to take a look in the operating theatre. How do you diagnose torsion?