EMDocs

JUNE 3, 2023

Figure 1: The Young-Burgess classification of pelvic ring fractures (source: [link] 3 It is paramount to differentiate the definitions of “hemodynamically unstable” and “mechanically unstable” pelvic fractures. For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link].

ED 64

ED Operating Room ALS Frozen Plasma 64

EMDocs

JULY 17, 2023

Evaluation Imaging A definitive diagnosis of LBO requires imaging, most often a computed tomography (CT) scan with intravenous (IV) contrast. Symptomatic management for patient comfort with antiemetics and analgesics, while definitive management is undertaken, should not be overlooked. 2021.03.001 Bauman BD, Witt JE, Vakayil V, et al.

E-9-1-1 98

E-9-1-1 ED Operating Room ALS 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

of hospitals reported that they had to transfer patients, leading to delays in definitive care. Time is testicle , reminding us that the sooner we get a definitive diagnosis and treatment, the more likely we are to save future generations. According to Sleeman et al., A systematic review and meta-analysis by Choudhary et al.

Operating Room 111

Operating Room Emergency Department ALS OR 111

AAEM RSA

DECEMBER 3, 2020

6,13,17 Challenges in Diagnosis: The diagnosis of Fournier’s gangrene is clinical: There are no laboratory or imaging studies that can be used to definitively rule out disease. 20,21 Imaging may be helpful in diagnosis or surgical planning but cannot rule out NSTI and may delay definitive surgical management. References Short B.

Emergency Department 52

Emergency Department E-9-1-1 ALS EMT 52

ACEP Now

APRIL 4, 2024

CT is more definitive but can take more time. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. References Sweeting MJ, Thompson SG, Brown LC, et al. Gunnarsson K, Wanhainen A, Björck M, et al. Lloyd GM, Bown MJ, Norwood MG, et al. Br J Surg 2012;99:655-665.

Operating Room 40

Operating Room ALS ED Emergency Department 40

ALiEM

FEBRUARY 12, 2024

Obstetrics and Gynecology was consulted for definitive management. The patient was taken to the operating room for dilation and curettage and was discharged the following day. link] Cline, David, et al. link] Acaia, Barbara, et al. Obstetrics & Gynecology, vol. 2, 2021, pp. McGraw-Hill Education, 2020.

Operating Room 161

Operating Room Emergency Department ALS OR 161

REBEL EM

DECEMBER 18, 2024

Temporomandibular (TMJ) Joint Dislocation Definition: Displacement of the mandibular condyle from the temporomandibular fossa. GorchynskiJ et al. PMID 25278137 Marx JA et al. Mendez DR et al. Louis, Mosby, Inc., 2010, (Ch) 70: p 895-909. J Emerg Med. 2014; 47(6):676-81. Philadelphia: Mosby Elsevier, 2010.

Operating Room 52

Operating Room ALS ED Emergency Department 52

Core EM

JANUARY 16, 2025

For an unstable patient in the ED, you will definitely not be able to do this entire evaluation, but any part will be helpful – even if its just having them range their neck and thrust their jaw while getting pre-oxygenated, or looking in the mouth to make sure the jaw isnt wired shut! Auscultation. Observation of chest rise.

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E-9-1-1 EMS ALS OR 130