REBEL EM

NOVEMBER 6, 2024

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. NEJM 1994. [2] Richards JE et al.

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EMDocs

MARCH 2, 2024

Answer : Pneumocephalus 1-21 Background: Pneumocephalus is defined by the presence of air within the cranial cavity. 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4] 1-3] The most common location is the frontal region, followed by the occipital and temporal regions. [4]

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Don't Forget the Bubbles

MAY 6, 2024

With millions of journal articles published yearly, it is impossible to keep up. Our team has scoured the literature, so you don’t have to—or it might spark an interest in reading the full article. Article 1: Positive urine cultures without pyuria Wang ME, Jones VG, Kane M, et al. 2024;24(1):111-118.

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Dr. Smith's ECG Blog

JUNE 17, 2024

Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. C Examination notable for diaphoresis, 1+ bilateral lower extremity edema, regular heart rate and rhythm, and no signs of respiratory distress with normal breath sounds. What do you think? In fact, Kosuge et al. Stein et al.

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EMDocs

MAY 11, 2024

CT head without contrast 1 is performed and reveals the following: Question: What is the diagnosis? On exam, the patient opens eyes to voice, has extraocular movements intact, is unable to speak, and has 0/5 strength in all extremities. The patient was intubated for acute hypercapnic and hypoxic respiratory failure and airway protection.

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Don't Forget the Bubbles

JULY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun 1.

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Don't Forget the Bubbles

SEPTEMBER 16, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Forgotten Pediatrics: 8 Disturbing Windows on the Past.

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Don't Forget the Bubbles

AUGUST 4, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. The Journal of Pediatrics published an article on education interventions to reduce diagnostic errors in burned or bruised patients suspected of abuse. Pediatrics.

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REBEL EM

JANUARY 25, 2024

Article: Arvig MD, Lassen AT, Gæde PH, et al. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomized, controlled trial.

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Don't Forget the Bubbles

NOVEMBER 29, 2023

This article is based on: Mayberry, H., Intensive Care Research , 1 (3-4), pp.60-64. Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Burgart, A.M. and Kanaris, C., Intubated, awake, and paralysed: a never event. W hat is the problem? How can we prevent this? DOI: 10.1097/ANA.0000000000000275

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EMDocs

JUNE 1, 2023

This collection of posts features recently published must-know articles. Welcome back to the “52 in 52” series. This week we cover the POLAR RCT on hypothermia for neuroprotection in those with severe TBI. Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Average ventilator days (8.3 Bradycardia: 18.8% Bradycardia: 18.8%

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Don't Forget the Bubbles

DECEMBER 6, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. When you read medical articles to stay up-to-date, you may not know certain studies pique your interest more than others. healthcare setting. Eur J Pediatr.

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Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Reviews and opinion articles Approach to simple kidney cysts in children. 2024 Apr 9.

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Don't Forget the Bubbles

SEPTEMBER 13, 2023

This series of DFTB articles aims to increase awareness of the Choosing Wisely ® recommendations. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. When considering tumours, 37 observation studies involving 2661 children found that 3% (95% CI 1-7%) had tumours.

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FOAMfrat

OCTOBER 20, 2023

As reported within the 6th edition Manual of Emergency Airway Management, there are cardiac arrest rates between 1% and 4%, with other complications (mostly hypoxemia and hypotension) as high as 30% in patients with first-pass success [1, pg 29; 4-10]. Why is Physiologic Optimization Important? Up to 44% per other sources [12].

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REBEL EM

FEBRUARY 5, 2024

Article: Marx T, Joly LM, Parmentier AL, et al. Sites: Investigators recruited patients at 31 French emergency departments at university and nonuniversity hospitals Duration : June 1, 2009 to March 31, 2015. Recurrence of pneumothorax within 1 year. Am J Respir Crit Care Med. 2023;207(11):1475-1485.

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Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. The patient had ROSC and maintained it.

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REBEL EM

MAY 8, 2023

Paper: Smith JA, Secombe P, Aromataris E. 2 additional articles were identified from reference lists. 2 additional articles were identified from reference lists. The initial screening process was performed by one reviewer, increasing the potential for the omission of relevant articles. in ICC group, 5.8%

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Dr. Smith's ECG Blog

MAY 5, 2022

Hyperkalemia and ST Segment Elevation, Post 1 A Tragic Case, related to the last post A patient with chest pain and ST Elevation in V1 and V2 You MUST recognize this pattern, even if it is not common ST Elevation. Figure-1: I've reproduced the initial ECG in today's case. Fluid resuscitation was initiated. What is it?

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Don't Forget the Bubbles

NOVEMBER 22, 2023

Of these signs, mortality in children is associated with hepatomegaly and fever; meanwhile, mortality in adults is associated with hyperkalaemia, traumatic brain injury, propofol infusion rates >5mg kg -1 h -1 and ECG changes. 1998;8(6):491-9. What are the clinical features of PRIS? Why does PRIS occur? References Bray RJ.

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Don't Forget the Bubbles

FEBRUARY 5, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Paediatric advocacy still has a long road ahead… You will find the list is broken down into four sections: 1.Reviews 2024 Jan 1;43(1):e11-e13. 2024 Jan 9.

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REBEL EM

JULY 3, 2023

Article: Rossi N et al. Investigators enrollend 660 patients in 9 years in 5 EDs; or approximately 6 patients per month; or 1 patient per /month for each ED. The inclusion of p-values in Table 1 might lead to misinterpretation or improper use of statistical significance.

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Don't Forget the Bubbles

AUGUST 14, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. You will find the list is broken down into four sections: 1.Reviews Baldan E, et al. Garne E, et al. 2023 Jul 9:archdischild-2023-325769.

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This Podcast Will Kill You

NOVEMBER 7, 2023

For every article about the risks of sun exposure or a guide to sunscreens, you don’t have to look far to find one about the health benefits of sunshine or a how-to for achieving the best tan. New England Journal of Medicine, 355(1), pp.51-65. Nature reviews Disease primers, 1(1), pp.1-20. Craythorne, E.

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ACEP Now

JANUARY 14, 2024

1-3 We may be unaware of potentially dangerous drug interactions when we order and prescribe medications in the ED. Many common presentations to the emergency department (ED) are related to drug interactions that are commonly missed and largely preventable. The resulting morbidity and mortality is significant.

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REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. 2020;71(1):235-246. This paper explicitly studies the efficacy of TEG-guided transfusion in a specific patient population—patients with advanced cirrhosis with nonvariceal upper GI bleeding. Hepatology. Significant coagulopathy: INR > 1.8 Significant coagulopathy: INR > 1.8

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NAEMSP

APRIL 19, 2023

Article by Erin Lincoln, MD Case Scenario: You are dispatched to a 68-year-old male in cardiac arrest. Several recent papers have come out, including a double blind, randomized controlled trial of calcium in cardiac arrest, and these papers are nicely summarized in a 2014 Annals of Emergency Medicine article by Landry, Foran, and Koyfman.

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REBEL EM

DECEMBER 10, 2023

2022 Jan 1;92(1):44-48. What they did: Retrospective study performed at a level 1 trauma center of patients diagnosed with pneumothorax from 2018-2020. Not so FAST- Chest ultrasound underdiagnoses traumatic pneumothorax. J Trauma Acute Care Surg. PMID: 34932040. There is no data on patients with false positive CUST or CXR.

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Paramedic Training Spot

DECEMBER 8, 2021

In this article, we will explore the intersection between the medical profession and military service. If you’ve been struggling to decide between serving as a Soldier in the United States Army or becoming a paramedic , venture no further; you’ve come to the right place. What is a Paramedic? That perception is certainly understandable.

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REBEL EM

FEBRUARY 21, 2024

Reviewing every study would be tedious and, fortunately, we’ve got a great review article on the topic. Read More REBEL EM: The Ketorolac Analgesic Ceiling References Irizarry E et al. Can J Emerg Med 2007; 9(1): 30-2. You contemplate analgesic options and decide that a NSAID makes sense. PMID: 34133820 Arora S et al.

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REBEL EM

MARCH 13, 2023

Article : Vianen NJ et al. What They Did: Two researchers performed a systematic review and meta-analysis following the PRISMA and CHARMS guidelines They collected articles using Embase, Medline ALL via Ovid, Web of Science Core Collection, and Google Scholar published between 1995-2020. Eur J Trauma Emerg Surg. Epub 2022 Mar 25.

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EMDocs

OCTOBER 30, 2023

1 The shortage in supply posed difficulties for hospitals that significantly depend on GE Healthcare as their supplier, which encompassed approximately 50% of hospitals in the United States (US). The primary aim of this article is to examine the clinical insights derived from scarcity and its consequences. 11 Table 1.

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Don't Forget the Bubbles

JULY 5, 2023

See this helpful summary article for more info. Figure 1: Clinical manifestations and long-term consequences of sickle cell disease Training and education on sickle cell disease: Training and education are crucial to improve morbidity and mortality. Patients with SCA (HbSS) usually become symptomatic at this point.

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Broome Docs

OCTOBER 31, 2022

2022 Jan;48(1):78-91. 2022 Sep;21(9):781-791. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Intensive Care Med. doi: 10.1007/s00134-021-06577-x.

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Dr. Smith's ECG Blog

JANUARY 30, 2019

The article is edited by Smith. The pattern of STE and STD reminded us of Brugada Type 1 morphology. Smith comment: 1) Brugada ECG may have ST shifts in limb leads as well as precordial leads. Patients that develop a Type 1 pattern without any precipitating or provoking factors have a risk of SCD of 0.5-0.8% F (rectal).

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ACEP Now

SEPTEMBER 3, 2024

1 Immediately after the purchase, the real estate holdings of the hospitals were spun off into a separate company owned by Paladin and other PE investors. 7-9 The PE model then aims to sell acquired businesses for a profit within three to six years.

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