ACEP Now

MARCH 14, 2024

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. J Thorac Dis.

E-9-1-1 52

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

EMDocs

NOVEMBER 16, 2024

Operative management is required in majority of cases. 9,23 Disposition: Dislocation : If successfully reduced in the emergency department may discharge with strict mobility restrictions and Orthopedic follow up. 6 Periprosthetic fracture : Admission for operative management. The American Journal of Emergency Medicine.

EMS 98

EMS E-9-1-1 Operating Room Emergency Department 98

AAEM RSA

DECEMBER 3, 2020

6,13,17 Challenges in Diagnosis: The diagnosis of Fournier’s gangrene is clinical: There are no laboratory or imaging studies that can be used to definitively rule out disease. 20,21 Imaging may be helpful in diagnosis or surgical planning but cannot rule out NSTI and may delay definitive surgical management. West J Emerg Med.

Emergency Department 52

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

EMDocs

JUNE 3, 2023

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. Figure 1: The Young-Burgess classification of pelvic ring fractures (source: [link] 3 It is paramount to differentiate the definitions of “hemodynamically unstable” and “mechanically unstable” pelvic fractures.

ED 64

ED Operating Room ALS Frozen Plasma 64

Don't Forget the Bubbles

FEBRUARY 7, 2024

My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergency department with acute testicular pain. This dropped to 79.3%

Operating Room 111

Operating Room Emergency Department ALS OR 111

EMDocs

JULY 17, 2023

Signs and symptoms of peritonitis, hypotension, tachycardia out of proportion to pain, or fever should raise suspicion for perforation, which is a surgical emergency. Evaluation Imaging A definitive diagnosis of LBO requires imaging, most often a computed tomography (CT) scan with intravenous (IV) contrast.

E-9-1-1 98

E-9-1-1 ED Operating Room ALS 98

ACEP Now

APRIL 4, 2024

3 The majority of those who arrive to the emergency department (ED) live for 2 hours or more, leaving a small window for surgical intervention. CT is more definitive but can take more time. Other exceptions are patient refusal, patient death or immediate transfer to the operating room.

Operating Room 40

Operating Room ALS ED Emergency Department 40

ALiEM

FEBRUARY 12, 2024

A 28-year-old female G3P2002 presented to the emergency department for one month of vaginal bleeding. The patient was seen in the emergency department one month earlier for vaginal bleeding in the first trimester of pregnancy. Obstetrics and Gynecology was consulted for definitive management.

Operating Room 161

Operating Room Emergency Department ALS OR 161

REBEL EM

DECEMBER 18, 2024

Temporomandibular (TMJ) Joint Dislocation Definition: Displacement of the mandibular condyle from the temporomandibular fossa. The “syringe” technique: a hands-free approach for the reduction of acute nontraumatictemporomandibulardislocations in the emergency department. J Emerg Med. Louis, Mosby, Inc.,

Operating Room 52

Operating Room ALS ED Emergency Department 52

FOAMfrat

NOVEMBER 25, 2024

Definitive care for an intrapartum cardiac arrest is a maternal perimortem cesarian section, which may be performed by any emergency physician. Like I said, any emergency physician, as much as they may not love it, can perform a perimortem cesarian section.

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Core EM

JANUARY 16, 2025

For an unstable patient in the ED, you will definitely not be able to do this entire evaluation, but any part will be helpful – even if its just having them range their neck and thrust their jaw while getting pre-oxygenated, or looking in the mouth to make sure the jaw isnt wired shut! Auscultation. Observation of chest rise.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130