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A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. 2022 ;279(3):1601-1607. Hemoptysis ED approach and management. Eur Arch Otorhinolaryngol.
It’s built from ESO-compiled data consisting of 968,538 hospital records from 596 hospital systems that took place between January 1 st to December 31 st of 2022. of patients with open long bone fractures receive antibiotics within the critical first 60 minutes of ED arrival.
2022 Sep 5. This study chose a relevant topic to analyze that could influence acute management in the ED and has a fairly larger sample size of patients to do so. 20222022 Sep 5. The impact of push-dose phenylephrine use on subsequent preload expansion in the ED setting. Paper: Singer S, et al. Am J Emerg Med.
The standard care in North America for post-traumatic EDH involves decompressive craniotomy or trepanation via a burr hole, typically performed in an operatingroom by neurosurgery teams. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. What are the key takeaways? (1)
A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. On hospital day 2, he was taken to the operatingroom for surgical rib fixation. 2022; 22(11):432-439. 2022; 276:221-234. Click to enlarge.) BJA Education.
A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operatingroom videos, recovery tips, and patients praising their plastic surgeon. Published May 11, 2022. Published online August 11, 2022:sjac224. References Garcia SE. Butt Lifts Are Booming.
Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The result of this ED capacity strain and less than ideal patient to staff ratios has led to delays in interventions, treatments and care adjustments. Paper: Owyang CG, et al. J Crit Care.
A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operatingroom, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.
1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. 4 Pain is the most common reason for presentation in the early post operative period. 2022 Jul;3(7):543-548.
C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. 12 An AP x-ray of the pelvis should be obtained in the ED for unstable patients.
One systematic review of 1283 patients showed that if you got to the operatingroom within 6 hours, you had a 97% chance of saving the testicle. Clinical predictors for testicular torsion as seen in the pediatric ED. This dropped to 79.3% References Aggarwal, D., Sharma, A.P., Singh, S.K. and Gupta, S., Beni-Israel, T.,
Case A 40-year-old female at 11 weeks, five days gestation presented to the emergency department (ED) with concern for lower abdominal pressure and inability to fully empty her bladder. The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operatingroom to manually reduce the uterus.
Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. 2022 Aug 1;93(2):157-165. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the OperatingRoom: A Cluster Randomized Clinical Trial. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. 2023.01.053.
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. Randomized controlled trials or comparative non-randomized observational studies.
While this guide isnt exhaustive, its designed by residents, for residents, to provide practical tips and foundational knowledge thats crucial in the fast-paced, high-stakes environment of the ED. Introduction Airway management is a critical ED skill to master. So the actual benefit for most ED patients is unclear.
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