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SGEM#432: SPEED, Give Me What I Need – To Diagnose Acute Aortic Dissections

The Skeptics' Guide to EM

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 operating room as soon as they are identified to reduce the likelihood of a terrible outcome.

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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

The Skeptics' Guide to EM

[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.

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Case Report: a High-Voltage Victim

ACEP Now

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.

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Propofol-related Infusion Syndrome

Don't Forget the Bubbles

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, 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.

E-9-1-1 126
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Cervical Spine Imaging in Kids – the PECARN rule

Don't Forget the Bubbles

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
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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

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. 2021.03.001 Bauman BD, Witt JE, Vakayil V, et al.

E-9-1-1 77
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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

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.

ED 54