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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. 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?

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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. Exclusion criteria: Manikin and cadaver studies. airway scope).

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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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First10EM Journal Club: May 2024

Broome Docs

Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2021 Oct;38(10):446-448. 2024 Mar 18:e240762. doi: 10.1001/jama.2024.0762. PMID: 38497992 Preventing poison ivy? Rauwerdink D, Balak D. Burrow Ink Test for Scabies. N Engl J Med. Epub 2023 Aug 12.

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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.

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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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