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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

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. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center. CREDIT: Dr. P.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2022 May 11;10:864766. 2022 Apr;29(4):406-414. Epub 2022 Jan 12. 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. 0.41), p < 0.001. In a systematic review of 10 RCTs comparing cuffed vs. uncuffed ETTs. 1.70) and 0.78 (0.46–1.35),

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Data Cafe Insights: 2023 ESO Trauma Index Overview

ESO

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. Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operating room within 24 hours.

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

REBEL EM

2022 Sep 5. Prior literature primarily focused on safety and medication errors, and while this study did the same, they also assessed variables associated with PDP response. Paper: Singer S, et al. The safety and efficacy of push dose vasopressors in critically ill adults. Am J Emerg Med.

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

REBEL EM

Epub 2022 Aug 28. Intravenous amino acid therapy for kidney protection in cardiac surgery a protocol for a multi-centre randomized blinded placebo controlled clinical trial. The PROTECTION trial. Contemp Clin Trials.

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Case Report: EMS Says Flail Chest, But Is It?

ACEP Now

His vital signs were within normal limits except for a respiratory rate of 23 with a room air pulse oxygen in the upper 90s. On hospital day 2, he was taken to the operating room for surgical rib fixation. 2022; 22(11):432-439. 2022; 276:221-234. He denied syncope, head trauma, or any other complaints. J Surg Res.

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EZ-IO® Emergency Burr Hole for Epidural Hematoma

Handtevy

The standard care in North America for post-traumatic EDH involves decompressive craniotomy or trepanation via a burr hole, typically performed in an operating room by neurosurgery teams. EDH accompanies up to 4% of adult head injuries, leading to 10% mortality in adults and 5% mortality in children. What are the key takeaways? (1)