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SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections

The Skeptics' Guide to EM

The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. AEM February 2024. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM February 2024.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

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. Familiarity with post-op restrictions for gluteal AFT patients will also improve their care in the emergency department.

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CMS Proposal Includes ACEP-Developed Measures for Geriatric Care

GEDC

On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule. This is a proposed measure, not to be set in place until Fall 2024.

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Cervical Spine Imaging in Kids – the PECARN rule

Don't Forget the Bubbles

A 2024 Cochrane systematic review compared available clinical decision rules (CDRs) (NEXUS, Canadian C-Spine Rule, PECARN retrospective criteria, NICE guidelines CG56 and CG176, Leonard de novo model, and PEDSPINE) for the evaluation of potential cervical spine injury following blunt trauma in children. 2024 Jun 3:S2352-4642(24)00104-4.

CPR 124
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Operative management is required in majority of cases. 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. 6 Periprosthetic fracture : Admission for operative management. 2024 Jan 18;5(1):28-36. 2021 Aug 31.

EMS 75
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Testicular torsion

Don't Forget the Bubbles

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.