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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. 0.41), p < 0.001. References : To YH, Ong YG, Chong SL, Ang PH, Bte Zakaria ND, Lee KP, Pek JH. Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Paediatr Anaesth. doi: 10.1111/pan.14185. PMID: 33774880.

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In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical’s Greg Mielke

Medgadget

Medgadget spoke with Steve Anderson , CEO of Preceptis Medical, back in March 2021. Greg Mielke, Preceptis Medical: Today, approximately one million children undergo ear tube procedures annually in an operating room in the United States.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. Aesthetic Plastic Surgery National Databank Statistics 2020–2021. Accessed March 6, 2024. Aesthet Surg J.

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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. 2021 Aug 31. 2021 Mar;33(1):11-17. Epub 2021 Mar 2. Epub 2021 Jun 12. Rosh Review Website Link References: McDermott KW, Liang L.

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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. Time is testicle , reminding us that the sooner we get a definitive diagnosis and treatment, the more likely we are to save future generations. This dropped to 79.3% Barbosa, J.A., Nahas, W.C.

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

EMDocs

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. Preperitoneal Packing While most often done in the operating room, PPP may be done in the trauma bay in rare instances depending on the institution.

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