REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. Prior literature primarily focused on safety and medication errors, and while this study did the same, they also assessed variables associated with PDP response. The safety and efficacy of push dose vasopressors in critically ill adults. Am J Emerg Med. 2022 Sep 5.

Epinephrine 98

Epinephrine Emergency Department ALS Operating Room 98

REBEL EM

AUGUST 12, 2024

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.

ICU 81

ICU Operating Room Critical Care ALS 81

ACEP Now

MARCH 14, 2024

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.)

Operating Room 52

Operating Room ACS Critical Care Coronary 52

ACEP Now

MARCH 14, 2024

18 The finger is inserted through the stoma alongside the endotracheal tube and, while 90 percent success rate has been reported with this method in controlling bleeding, the pressure must be maintained until the patient is transferred to the operating room. In one case series of seven patients, the average patient age was 15.7

E-9-1-1 52

E-9-1-1 ALS Operating Room OR 52

FOAMfrat

DECEMBER 28, 2023

During Orientations, new crew members must do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field. Let’s start with what this study is This study is of a single service with three (3) bases in southeastern Wisconsin and northern Illinois. Data was pulled from June 2013 to June 2018.

Paramedic 52

Paramedic Emergency Medical Services Operating Room OR 52

REBEL EM

MARCH 27, 2023

Paper: Owyang CG, et al. First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. J Crit Care.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

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. Al Jazeera. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 94

EMS E-9-1-1 Operating Room Emergency Department 94

EMDocs

JUNE 3, 2023

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. Conceptually, pelvic ring fractures are similar to breaking a hard pretzel.

ED 60

ED Operating Room ALS Frozen Plasma 60

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 2-3 Risk Factors CRC is the most common underlying etiology of LBO.

E-9-1-1 95

E-9-1-1 ED Operating Room ALS 95

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. According to Sleeman et al.,

Operating Room 111

Operating Room Emergency Department ALS OR 111

AAEM RSA

DECEMBER 3, 2020

Diagnosis is clinical and challenged by overlap with more superficial skin infections (i.e. cellulitis) and the need for thorough examination of the genital region. 1 His description of cases of life-threatening infections in the perineal, genital or perianal regions were thought to be idiopathic in previously healthy men.

Emergency Department 52

Emergency Department E-9-1-1 ALS EMT 52

ACEP Now

APRIL 4, 2024

Other exceptions are patient refusal, patient death or immediate transfer to the operating room. References Sweeting MJ, Thompson SG, Brown LC, et al. Gunnarsson K, Wanhainen A, Björck M, et al. Lloyd GM, Bown MJ, Norwood MG, et al. Metcalfe D, Sugand K, Thrumurthy SG, et al. Br J Surg 2012;99:655-665.

Operating Room 40

Operating Room ALS ED Emergency Department 40

ACEP Now

JANUARY 12, 2024

The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operating room to manually reduce the uterus. Gardner C, Jaffe T, Hertzberg B, et al. She had urinary dribbling when standing and leaning forward. She denied fevers, back pain, saddle anesthesia, numbness, or weakness in the extremities.

Operating Room 52

Operating Room Emergency Department OR ED 52

FOAMfrat

MARCH 11, 2024

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.

Operating Room 64

Operating Room ALS OR Ambulance 64

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. link] Cline, David, et al. link] Acaia, Barbara, et al. She endorsed worsening nausea and vomiting over the past two weeks. She has been sexually active since her last encounter. References Soper, John T.

Operating Room 161

Operating Room Emergency Department ALS OR 161

REBEL EM

NOVEMBER 25, 2024

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 operating room). Ann Emerg Med. 2024 Feb 83(2):132-144.

Operating Room 97

Operating Room Emergency Department ICU ALS 97

REBEL EM

DECEMBER 18, 2024

Diagnosis: Diagnosis can be made based on clinical exam alone Physical exam Inability to close the mouth Garbled speech Drooling. Anterior dislocations: palpation of the TMJ can reveal one or both of the condyles to be anteriorly displaced in front of the articular eminence.

Operating Room 52

Operating Room ALS ED Emergency Department 52

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Practice may not achieve perfection, but it will make you better. fiber optic through the nose).

EMS 130

EMS E-9-1-1 ALS OR 130