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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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First10EM Journal Club: May 2024

Broome Docs

Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2024 Mar 18:e240762. 2024 Apr 1;52(4):521-530. 2024 Apr 4;390(13):1186-1195. doi: 10.1001/jama.2024.0762. PMID: 38497992 Preventing poison ivy? Rauwerdink D, Balak D. N Engl J Med.

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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: Retroperitoneal Hematoma

EMDocs

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 75
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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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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). Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med.

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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.