Don't Forget the Bubbles

JUNE 19, 2024

Well-designed multicentre large studies in children were warranted; cue Leonard et al. Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. In practice, questions remain about who applies the CDR and the inter-rater reliability.

CPR 124

CPR Operating Room OR Emergency Department 124

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. PMID: 25789927 Schwartz MB, et al. The safety and efficacy of push dose vasopressors in critically ill adults.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

REBEL EM

AUGUST 12, 2024

PMID: 36038001 Levi TM, et al. PMID: 24553510 Iacone R, et al. The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. The PROTECTION trial. The PROTECTION trial. Contemp Clin Trials. Epub 2022 Aug 28.

ICU 81

ICU Critical Care Operating Room ALS 81

ACEP Now

MARCH 14, 2024

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

REBEL EM

MARCH 27, 2023

Paper: Owyang CG, et al. There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Unfortunately, its not clear whether the documentation came from RTs or ED providers. REFERENCES: Acute Respiratory Distress Syndrome Network et al.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

EMDocs

NOVEMBER 16, 2024

Posterior – Shortened, adducted, internally rotated 5,6 Anterior – Shortened, abducted, externally rotated 5,6 As with all dislocations, perform and document distal neurovascular exam before and after management. 8 Perform and document distal neurovascular exam. Parvizi J, Tan TL, Goswami K, et al. Hospitals, 2018.

EMS 75

EMS E-9-1-1 Operating Room Emergency Department 75

AAEM RSA

DECEMBER 3, 2020

Introduction: While cases of genital gangrene were documented as early as 980 CE, the condition we know today as FG was coined in the 1880’s by French venerologist, Jean Alfred Fournier. A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operating room.

Emergency Department 52

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