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

The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. Reference: Gibbons et al.

Operating Room 332

Operating Room Emergency Department ALS ED 332

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 98

EMS E-9-1-1 Operating Room Emergency Department 98

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. EmergeNcy Department use of Apneic Oxygenation versus usual care during rapid sequence intubation: A randomized controlled trial (The ENDAO Trial). display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. Reference: Caputo et al.

Operating Room 130

Operating Room Emergency Department Critical Care ALS 130

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. Familiarity with post-op restrictions for gluteal AFT patients will also improve their care in the emergency department.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

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

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 98

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

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

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

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 67

ED Operating Room ALS Frozen Plasma 67

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

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

REBEL EM

NOVEMBER 25, 2024

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

Operating Room 104

Operating Room Emergency Department ICU ALS 104

REBEL EM

DECEMBER 18, 2024

GorchynskiJ et al. The “syringe” technique: a hands-free approach for the reduction of acute nontraumatictemporomandibulardislocations in the emergency department. J Emerg Med. J Emerg Med. PMID 25278137 Marx JA et al. Rosens Emergency Medicine: Concepts and Clinical Practice, 7 ed.

Operating Room 52

Operating Room ALS ED Emergency Department 52

Core EM

JANUARY 16, 2025

Only about 50% sensitive for detecting an esophageal intubation (Grmec 2004) and about 65% sensitive for detecting a main-stem intubation in the operating room where everything is much quieter than in the ED (Sitzwohl 2010). et al (2022). Am J Emerg Med. Baker JB, et al. West J Emerg Med. Blunt, MC, et al.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130