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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. Would the prediction rule be reliable and the results interpretable if used for your patient?

CPR 124
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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

Background Information: Acute kidney injury (AKI) is one of the most frequent complications of cardiac surgery and the cause is complex. PMID: 36038001 Levi TM, et al. PMID: 24553510 Iacone R, et al. Renal hypoperfusion from decreased glomerular filtration rate after cardiopulmonary bypass is a major contributor.

ICU 81
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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

Background Information: Acute Hypotension is associated with increased morbidity and mortality. Paper: Singer S, et al. The retrospective design of this study omitted assessment of ventricular dysrhythmias related to push dose pressor administration, as they were reliant on information in the EMR. References: Singer S, et al.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Paper: Owyang CG, et al. Data was automatically captured in the EMR so that accurate information was able to be extracted for the study. 2000 May 4; PMID: 10793162 Harvey CE, et al.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

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. Al Jazeera. Mofid MM, Teitelbaum S, Suissa D, et al. Accessed March 6, 2024. Accessed February 19, 2024.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Open reduction in the operating room may be required if closed reduction is unsuccessful. Overview of Operating Room Procedures During Inpatient Stays in U.S. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. Parvizi J, Tan TL, Goswami K, et al. Hospitals, 2018. 2021 Aug 31.

EMS 75
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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

32 Relying on easily and rapidly obtained information, these simple and low-cost tools may be particularly useful in low resource settings and in cases where time or severity of patient presentation does not permit additional workup. Fournier gangrene: an histori9]al reappraisal. Sugihara T, Yasunaga H, Horiguchi H, et al.