ACEP Now

JANUARY 5, 2025

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. Hemoptysis ED approach and management. Its going to take time to get her to a tertiary center.

Operating Room 98

Operating Room Epinephrine ALS ED 98

Critical Care Scenarios

JULY 11, 2021

Takeaway lessons * Trauma patients who are hypotensive or otherwise unstable should be assumed to be bleeding, bleeding, bleeding until proven otherwise, and should have a very low threshold to proceed directly to the operating room for exploration.* Traction splinting is usually not done in the ED.

Operating Room 100

Operating Room ICU ED OR 100

REBEL EM

JUNE 8, 2023

This study chose a relevant topic to analyze that could influence acute management in the ED and has a fairly larger sample size of patients to do so. The impact of push-dose phenylephrine use on subsequent preload expansion in the ED setting. Am J Emerg Med.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

REBEL EM

MARCH 27, 2023

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. J Crit Care. Paper: Owyang CG, et al.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

ACEP Now

MARCH 14, 2024

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. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.

Operating Room 52

Operating Room ACS Critical Care Coronary 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. The data that are available come largely based on voluntary reporting, physician surveys, or autopsies. References Garcia SE.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

Broome Docs

APRIL 30, 2024

This month is heavy on dermatology for some reason… but still plenty of EBM, Crit care and laughs. Join Justin and I for a sold 80 minutes of nerdy evidence-based ED care. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial.

Operating Room 69

Operating Room Critical Care ED OR 69