2023, Operating Room and OR - Paramedicine Now

Data Cafe Insights: 2023 ESO Trauma Index Overview

ESO

MARCH 7, 2024

The 2023 ESO Trauma Index offers a detailed analysis of current trends and benchmarks in trauma care, setting a new standard for improvement. Antibiotics and Open Long Bone Fractures: The 2023 Index points out that 67.3% of patients with open long bone fractures receive antibiotics within the critical first 60 minutes of ED arrival.

Operating Room

Operating Room ICU OR ED

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

NOVEMBER 17, 2023

2023 Apr 28;24(3):579-587. 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? 1.70) and 0.78 (0.46–1.35),

E-9-1-1

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

Propofol-related Infusion Syndrome

Don't Forget the Bubbles

NOVEMBER 22, 2023

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. 2023) ‘Propofol’, in StatPearls. Available at: [link] (Accessed: 14 September 2023). References Bray RJ.

E-9-1-1

E-9-1-1 Critical Care Operating Room ALS

Threading the Needle: Bougie-First Intubation

REBEL EM

NOVEMBER 25, 2024

A medical librarian with expertise in systematic reviews, searched Cochrane, Embase, Medline, Scopus, and Web of Science for relevant randomized controlled trials and comparative observational studies from inception to June 2023. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations.

Operating Room

Operating Room Emergency Department ICU ALS

First10EM Journal Club: May 2024

Broome Docs

APRIL 30, 2024

2023 Feb 8:S0735-6757(23)00066-9. 2023 Mar 6;5(3):e0855. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2023 Aug 17;389(7):e12. Epub 2023 Aug 12. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554.

Operating Room

Operating Room Critical Care ED OR

EM@3AM: Retroperitoneal Hematoma

EMDocs

SEPTEMBER 7, 2024

Patients may arrive with other concomitant injuries such as head or spine injuries and may be critically ill. Imaging CT scan of the abdomen and pelvis with IV contrast or CT angiogram of the abdomen is the imaging modality of choice. Majority of RPH will stabilize on their own and not require intervention. Mortality can varies between 5-20%.

EMS

EMS E-9-1-1 Operating Room OR

Case Report: a High-Voltage Victim

ACEP Now

MARCH 14, 2024

Thick, dry, and calloused skin of a construction worker can have as much as 100 times more resistance than the previous example. 4 This may lead to more heat dissipated at the skin with impressive burns to skin, but less transmission of electricity to deeper tissues. High voltage” is defined by texts as 600 V and 1,000 V. Click to enlarge.)

Operating Room

Operating Room ACS Critical Care Coronary

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

EMDocs

JUNE 3, 2023

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.

ED

ED Operating Room ALS Frozen Plasma

Potato vs Potato

FOAMfrat

DECEMBER 28, 2023

Ok, here we go… Lots of controversy over the recent article titled, “Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services”, published by the Air Medical Journal in their November/December 2023 issue. Data was pulled from June 2013 to June 2018. Take a movement.

Paramedic

Paramedic Emergency Medical Services Operating Room OR

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. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

Emergency Department

Emergency Department Operating Room Critical Care ALS

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS

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

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. The gold standard – the only way you will really know if there is a torsion or not – is to take a look in the operating theatre. How do you diagnose torsion?

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. Accessed December 8, 2023. She had urinary dribbling when standing and leaning forward. She denied fevers, back pain, saddle anesthesia, numbness, or weakness in the extremities. 1,5 Figure 3.

Operating Room

Operating Room Emergency Department OR ED

Escape Room - Placenta Previa

FOAMfrat

MARCH 11, 2024

A maternal ultrasound or MRI can detect a previa and avoid unnecessary digital exams that could cause hemorrhage (Anderson-Bagga & Sze, 2023). However, we may need to temporize the patient before they can get to an operating room. This causes the placenta to look elsewhere for an attachment site with better circulation.

Operating Room

Operating Room ALS OR Ambulance

SAEM Clinical Images Series: One Month of Vaginal Bleeding

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. link] Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. 2, 1988, pp.

Operating Room

Operating Room Emergency Department ALS OR

Paramedicine Now

Data Cafe Insights: 2023 ESO Trauma Index Overview

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Trending Sources

Propofol-related Infusion Syndrome

Threading the Needle: Bougie-First Intubation

First10EM Journal Club: May 2024

EM@3AM: Retroperitoneal Hematoma

Case Report: a High-Voltage Victim

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

Potato vs Potato

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

EM@3AM: Total Hip Arthroplasty Complications

Testicular torsion

Case Report: Acute Urinary Retention in a Pregnant Woman

Escape Room - Placenta Previa

SAEM Clinical Images Series: One Month of Vaginal Bleeding

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