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EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Core EM

2021 Background Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. Read More PEMCAR iBook (Apple version) PEMCAR iBook (PDF) EMCAR – Prehospital Traumatic Narrow Pulse Pressure – J Surg Res 2021 Read More Prehospital hypotension is one of those criteria.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2021 Jun;31(6):713-719. Epub 2021 Apr 11. The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. 0.41), p < 0.001. References : To YH, Ong YG, Chong SL, Ang PH, Bte Zakaria ND, Lee KP, Pek JH. Paediatr Anaesth. doi: 10.1111/pan.14185. PMID: 33774880. 2016 Feb;30(1):3-11.

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Threading the Needle: Bougie-First Intubation

REBEL EM

1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant difference in first-attempt intubation success between the bougie and an endotracheal tube with stylet among critically ill adults. PMID: 34879143 Apfelbaum JL, Hagberg CA, Connis RT, et al.

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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. Published 2021 Apr 22. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome.

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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. What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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. 2021 Aug 31. 2021 Mar;33(1):11-17. Epub 2021 Mar 2. Epub 2021 Jun 12.

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Escape Room - Placenta Previa

FOAMfrat

According to Salim and Satti (2021), some of the others include: Uterine Surgery Increased Maternal age (>35 years old) High Parity Multiple Fetal Gestation Smoking / Drug use The mechanism for the placenta forming in a less-than-ideal place is that scars leave poorly vascularized areas of the uterine wall. What about Oxygen? & Satti, I.