2022, ALS and Operating Room - Paramedicine Now

Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

JANUARY 5, 2025

The literature suggests that approximately 85 percent of these cases require procedural source control in the operating room, highlighting the importance of expediting transport arrangements. References Grasl S, Mekhail P, Janik S, et al. 2022 ;279(3):1601-1607. Dharmawardana N, Chandran D, Elias A, et al.

Operating Room

Operating Room Epinephrine ALS ED

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

NOVEMBER 17, 2023

2022 May 11;10:864766. 2022 Apr;29(4):406-414. Epub 2022 Jan 12. 0.41), p < 0.001. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis. Front Pediatr. doi: 10.3389/fped.2022.864766. 2022.864766. PMID: 35633947; PMCID: PMC9130697. Acad Emerg Med. doi: 10.1111/acem.14431. PMID: 34923705. 1994 Jul;125(1):57-62.

E-9-1-1

E-9-1-1 Operating Room Emergency Department ALS

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. 2022 Sep 5. References: Singer S, et al. 2022 2022 Sep 5. PMID: 36108346 Cole JB, et al. PMID: 31270748 Maheshwari K, et al. PMID: 29872882 Jones AE, et al. PMID: 17035422 Holler JG, et al. PMID: 25789927 Schwartz MB, et al. Am J Emerg Med. Am J Emerg Med.

Epinephrine

Epinephrine Emergency Department ALS Critical Care

The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

AUGUST 12, 2024

Epub 2022 Aug 28. Epub 2022 Aug 28. PMID: 36038001 Levi TM, et al. PMID: 24553510 Iacone R, et al. The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. The PROTECTION trial.

ICU

ICU Operating Room Critical Care ALS

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

MAY 9, 2024

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. Published May 11, 2022. Al Jazeera. Published online August 11, 2022:sjac224. Butt Lifts Are Booming.

Emergency Department

Emergency Department Operating Room Critical Care ICU

Case Report: a High-Voltage Victim

ACEP Now

MARCH 14, 2024

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.

Operating Room

Operating Room ACS Critical Care Coronary

Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

MARCH 27, 2023

Paper: Owyang CG, et al. REFERENCES: Acute Respiratory Distress Syndrome Network et al. 2000 May 4; PMID: 10793162 Harvey CE, et al. 2022 Feb 8; PMID: 35156050 Higgins TL et al. PMID: 19325480 Gajic O, et al. PMID: 20802164 Heimberg DH, et al. 2022 Feb 24;7(1):29603. J Crit Care. N Engl J Med.

Emergency Department

Emergency Department ICU Critical Care EMR

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

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. 2022 Jul;3(7):543-548. BJO-2022-0026.R1. 2022 Jul;3(7):543-548.

EMS

EMS E-9-1-1 Operating Room Emergency Department

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

EMDocs

JUNE 3, 2023

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.

ED

ED Operating Room ALS Frozen Plasma

Testicular torsion

Don't Forget the Bubbles

FEBRUARY 7, 2024

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. Sharma, A.P.,

Operating Room

Operating Room Emergency Department ALS OR

Case Report: Acute Urinary Retention in a Pregnant Woman

ACEP Now

JANUARY 12, 2024

The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operating room to manually reduce the uterus. Last updated November 23, 2022. Gardner C, Jaffe T, Hertzberg B, et al. Published June 10, 2022. A pessary was inserted during that procedure. References Vidaeff A, Schneider K.

Operating Room

Operating Room Emergency Department OR ED

Threading the Needle: Bougie-First Intubation

REBEL EM

NOVEMBER 25, 2024

2 Moreover, the American Society of Anesthesiologists’ 2022 Practice Guidelines for Management of the Difficult Airway recommend the use of adjuncts like bougies in anticipated difficult airways but stop short of endorsing their routine universal use. Paper: von Hellmann R, Fuhr N, Maia IWA, et al. PMID: 29800096 Driver BE et al.

Operating Room

Operating Room Emergency Department ICU ALS

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

Only about 50% sensitive for detecting an esophageal intubation (Grmec 2004) and about 65% sensitive for detecting a main-stem intubation in the operating room where everything is much quieter than in the ED (Sitzwohl 2010). et al (2022). Baker JB, et al. Blunt, MC, et al. Auscultation. Even worse.

E-9-1-1

E-9-1-1 EMS ALS OR

Paramedicine Now

Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

Case Report: a High-Voltage Victim

Impact of Emergency Department Crowding on Lung Protective Ventilation

EM@3AM: Total Hip Arthroplasty Complications

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

Testicular torsion

Case Report: Acute Urinary Retention in a Pregnant Woman

Threading the Needle: Bougie-First Intubation

An EM Resident’s Guide to Basic Airway Management

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