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Reference: Gibbons et al. Reference: Gibbons et al. He will need to be transferred to the tertiary care center which is 35 minutes away by ground EMS if it is a dissection. Type A AoDs generally require an emergent trip to the operatingroom as soon as they are identified to reduce the likelihood of a terrible outcome.
The literature suggests that approximately 85 percent of these cases require procedural source control in the operatingroom, highlighting the importance of expediting transport arrangements. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. 2022 ;279(3):1601-1607.
[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. He writes an excellent blog called EM Nerd , which he describes as nihilistic ramblings. Reference: Caputo et al. Case: A 68-year-old female presents with shortness of breath.
The post Cuffed Endotracheal Tubes for Children: ReBaked Morsel appeared first on Pediatric EM Morsels. 0.41), p < 0.001. 2016 Feb;30(1):3-11. doi: 10.1007/s00540-015-2062-4. Epub 2015 Aug 22. PMID: 26296534.
They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operatingroom, given some of the potentially severe adverse events (including PRIS) seen. Filho EM, Riechelmann MB. Vanlander AV, Okun JG, de Jaeger A, Smet J, De Latter E, De Paepe B, et al.
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 operatingroom less frequently than those in the derivation cohort. In practice, questions remain about who applies the CDR and the inter-rater reliability.
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.
PMID: 36038001 Levi TM, et al. PMID: 24553510 Iacone R, et al. 2020 Mar 14; PMID: 32183395 Post Peer Reviewed By : Salim Rezaie, MD (Twitter/X: @Srrezaie ) The post The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection appeared first on REBEL EM - Emergency Medicine Blog.
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. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm. 2023 Jul 17.
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. PMID: 19325480 Gajic O, et al. PMID: 20802164 Heimberg DH, et al. J Crit Care. N Engl J Med. Crit Care Explor. Crit Care Med.
We’ll keep it short, while you keep that EM brain sharp. Open reduction in the operatingroom may be required if closed reduction is unsuccessful. Overview of OperatingRoom Procedures During Inpatient Stays in U.S. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Hospitals, 2018.
C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.
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 operatingroom. doi:10.3390/cancers13092025 Pisano M, Zorcolo L, Merli C, et al. 2021.03.001 Bauman BD, Witt JE, Vakayil V, et al.
Looking at several different sources, it seems that the chance a placenta previa will form in the pregnancy following a cesarian delivery increases by ~40-60% (Cresswell et al., The good news is that most placenta previa cases resolve independently (~90% of them) (Getahun et al., There is a study by Silver et al.
Paper: von Hellmann R, Fuhr N, Maia IWA, et al. 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 operatingroom). PMID: 29800096 Driver BE et al.
GorchynskiJ et al. PMID 25278137 Marx JA et al. Mendez DR et al. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 133.0 – TMJ Dislocation appeared first on REBEL EM - Emergency Medicine Blog. Louis, Mosby, Inc., 2010, (Ch) 70: p 895-909. J Emerg Med. 2014; 47(6):676-81. Accessed on April 20, 2016.)
An EM Residents Guide to Basic Airway Management Authors: Justin Rice, MD Sagar Desai, MD Eunice Monge, MD William Chiang, MD Preface: Airway management is one of the most critical skills in emergency medicine, yet it can be one of the most challenging to master. et al (2022). Baker JB, et al. Blunt, MC, et al.
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