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

The Skeptics' Guide to EM

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. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY.

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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. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. Paediatr Anaesth.

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EM@3AM: Retroperitoneal Hematoma

EMDocs

We’ll keep it short, while you keep that EM brain sharp. F, RR 16, SpO2 97% on room air. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. His initial vital signs include HR of 116 bpm, BP of 75/50 mm Hg, RR of 25/min, and SpO2 of 98% on room air. Updated 2024 Jan 9].

EMS 97
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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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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

2020 Mar 14; PMID: 32183395 Post Peer Reviewed By : Salim Rezaie, MD (Twitter/X: @Srrezaie ) The post The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection appeared first on REBEL EM - Emergency Medicine Blog.

ICU 81
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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. 2024 Jan 18;5(1):28-36. 2024 Sep;34(5):633-640. Epub 2024 May 31. 2021 Aug 31.

EMS 97
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Threading the Needle: Bougie-First Intubation

REBEL EM

2024 Feb 83(2):132-144. Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operating room). 2024 Feb 83(2):132-144. Ann Emerg Med. Ann Emerg Med. N Engl J Med.