ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

Don't Forget the Bubbles

JUNE 19, 2024

Well-designed multicentre large studies in children were warranted; cue Leonard et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. 2024 Jun 3:S2352-4642(24)00104-4.

CPR 124

CPR Operating Room OR Emergency Department 124

EMDocs

JUNE 3, 2023

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room. An x-ray in the trauma bay demonstrated an AP grade III fracture.

ED 54

ED Operating Room ALS Frozen Plasma 54

FOAMfrat

DECEMBER 28, 2023

During Orientations, new crew members must do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field. From experience, some emergency departments would not even allow the nurse to administer a paralytic. Brittany Grandfield, Flight Nurse Citation: Thompson, Gregory, et al.

Paramedic 52

Paramedic Emergency Medical Services Operating Room OR 52

ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. Scalise P, Prunk SR, Healy D, et al. Furukawa K, Kamohara K, Itoh M, et al. Grant CA, Dempsey G, Harrison J, et al. 2013:1960-62.

E-9-1-1 52

E-9-1-1 ALS Operating Room OR 52

EMDocs

JULY 17, 2023

In these cases, CT may not be feasible and a plain radiograph showing free air or bedside US showing free fluid may be useful to confirm serious abdominal pathology prior to transfer to the operating room. doi:10.3390/cancers13092025 Pisano M, Zorcolo L, Merli C, et al. World J Emerg Surg. Am J Emerg Med.

E-9-1-1 77

E-9-1-1 ED ALS Operating Room 77

EMDocs

NOVEMBER 16, 2024

Operative management is required in majority of cases. 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. 6 Periprosthetic fracture : Admission for operative management. The American Journal of Emergency Medicine.

EMS 68

EMS E-9-1-1 Operating Room Emergency Department 68

AAEM RSA

DECEMBER 3, 2020

A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operating room. Fournier gangrene: an histori9]al reappraisal. Sugihara T, Yasunaga H, Horiguchi H, et al. Bjurlin MA, O'Grady T, Kim DY, et al. Sorensen MD, Krieger JN, Rivara FP, et al.

Emergency Department 52

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

ACEP Now

APRIL 4, 2024

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. References Sweeting MJ, Thompson SG, Brown LC, et al. J Vasc Surg.

Operating Room 40

Operating Room ALS ED Emergency Department 40

ACEP Now

JANUARY 12, 2024

Case A 40-year-old female at 11 weeks, five days gestation presented to the emergency department (ED) with concern for lower abdominal pressure and inability to fully empty her bladder. The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operating room to manually reduce the uterus.

Operating Room 52

Operating Room Emergency Department OR ED 52

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. According to Sleeman et al., and Al-Dhahir, M.A., Mellick, L.B.,

Operating Room 111

Operating Room Emergency Department ALS OR 111

ALiEM

FEBRUARY 12, 2024

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. link] Cline, David, et al. link] Acaia, Barbara, et al. 2, 2021, pp. and Donald P.

Operating Room 161

Operating Room Emergency Department ALS OR 161