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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

The key is a stepwise, three-pronged approachresuscitation, early ENT consultation with transport arrangements, and temporizing measures applied to control bleedingto keep the patient safe until shes transferred to definitive care. Her vital signs are normal, except for a heart rate of 115 bpm. CREDIT: Dr. P.

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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

The Skeptics' Guide to EM

As such it has enjoyed widespread adoption throughout the Emergency Medicine and Critical Care world. 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. Only one of these studies was undertaken in an intensive care setting, and it did not report any cases of PRIS.

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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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Tasty Morsels of Critical Care 038 | Lung Transplantation

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Oh’s Manual chapter 104 has a decent chapter on the intensive care aspects of lung transplant. Read More » Welcome back to the tasty morsels of critical care podcast.

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Episode 35: When to operate in trauma with Dennis Kim

Critical Care Scenarios

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.* Operative prep for exploratory laparotomy is usually from the chin to the knees.

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

REBEL EM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)