ALS, Definition and Operating Room

SGEM#205: Twist & Shout – Testicular Torsion

The Skeptics' Guide to EM

FEBRUARY 2, 2018

[display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al. Might his examination be enough to convince the urologists to take him straight to the operating room without a preceding diagnostic ultrasound? Reference: Frohlich LC, et al.

Operating Room

Operating Room Emergency Department ALS ED

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. References: Singer S, et al. PMID: 36108346 Cole JB, et al. PMID: 31270748 Maheshwari K, et al. PMID: 29872882 Jones AE, et al. PMID: 17035422 Holler JG, et al. The safety and efficacy of push dose vasopressors in critically ill adults. Am J Emerg Med. 2022 Sep 5. Am J Emerg Med.

Epinephrine

Epinephrine Emergency Department ALS Critical Care

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

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

ED Operating Room ALS Frozen Plasma

Large bowel obstruction: ED presentation, evaluation, and management

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

E-9-1-1 ED ALS Operating Room

How To Manage Tracheo-Innominate Fistula

ACEP Now

MARCH 14, 2024

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. 15 Definitive Treatment Definitive treatment of TIF has traditionally involved median sternotomy and ligation of the innominate artery. Scalise P, Prunk SR, Healy D, et al. Mun JH, Jun PS, Sim Y-J, et al.

E-9-1-1

E-9-1-1 ALS 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. 9 PFE is only definitively diagnosed on autopsy and a high clinical suspicion must be maintained in high-risk patients.

Emergency Department

Emergency Department Operating Room Critical Care ALS

Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

MARCH 27, 2023

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Paper: Owyang CG, et al. REFERENCES: Acute Respiratory Distress Syndrome Network et al. 2000 May 4; PMID: 10793162 Harvey CE, et al. 2022 Feb 8; PMID: 35156050 Higgins TL et al.

Emergency Department

Emergency Department ICU Critical Care EMR

Testicular torsion

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

Operating Room Emergency Department ALS OR

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

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. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Parvizi J, Tan TL, Goswami K, et al. Hospitals, 2018. 2021 Aug 31.

EMS

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

Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

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

Emergency Department E-9-1-1 ALS EMT

New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

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

Operating Room ALS ED Emergency Department

SAEM Clinical Images Series: One Month of Vaginal Bleeding

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

Operating Room Emergency Department ALS OR

REBEL Core Cast 133.0 – TMJ Dislocation

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

Operating Room ALS ED Emergency Department

Paramedicine Now

SGEM#205: Twist & Shout – Testicular Torsion

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

Trending Sources

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

Large bowel obstruction: ED presentation, evaluation, and management

How To Manage Tracheo-Innominate Fistula

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

Impact of Emergency Department Crowding on Lung Protective Ventilation

Testicular torsion

EM@3AM: Total Hip Arthroplasty Complications

Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

SAEM Clinical Images Series: One Month of Vaginal Bleeding

REBEL Core Cast 133.0 – TMJ Dislocation

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