Remove ALS Remove Operating Room Remove OR
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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. 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. AEM February 2024. AEM February 2024. The pain is often described as tearing or ripping.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

On this 10 year anniversary, we chose to throw this one back in the oven to include some even more delicious data on cuffed endotracheal tube (ETT) use. Cuffed Endotracheal Tubes: Evolution of Thought and Technology Why did we historically use uncuffed endotracheal tubes in kids younger than 8? 0.41), p < 0.001. 1.70) and 0.78 (0.46–1.35),

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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. What is the problem? What did previous studies show? What were the results?

CPR 124
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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. There have been some studies in various clinical settings (operating room, critical care and pre-hospital) that have demonstration benefit of apneic oxygenation.

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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. Vanlander AV, Okun JG, de Jaeger A, Smet J, De Latter E, De Paepe B, et al. What are the clinical features of PRIS?

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

REBEL EM

The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. Intravenous amino acid therapy for kidney protection in cardiac surgery a protocol for a multi-centre randomized blinded placebo controlled clinical trial.

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Case Report: a High-Voltage Victim

ACEP Now

Thick, dry, and calloused skin of a construction worker can have as much as 100 times more resistance than the previous example. 4 This may lead to more heat dissipated at the skin with impressive burns to skin, but less transmission of electricity to deeper tissues. High voltage” is defined by texts as 600 V and 1,000 V. Click to enlarge.)