Definition, EMS and Operating Room

Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

JANUARY 5, 2025

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. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column.

Operating Room

Operating Room Epinephrine ALS ED

EM@3AM: Retroperitoneal Hematoma

EMDocs

SEPTEMBER 7, 2024

We’ll keep it short, while you keep that EM brain sharp. F, RR 16, SpO2 97% on room air. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. His initial vital signs include HR of 116 bpm, BP of 75/50 mm Hg, RR of 25/min, and SpO2 of 98% on room air.

EMS

EMS E-9-1-1 Operating Room OR

Ep 164 Cardiogenic Shock Simplified

Emergency Medicine Cases

JANUARY 4, 2022

What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room? How can we best pick up occult cardiogenic shock before it floured shock kicks in? Which patients with acute heart are safe to send home in general?

Operating Room

Operating Room OR EMS

Case Report: EMS Says Flail Chest, But Is It?

ACEP Now

MAY 4, 2023

EMS recognized a chest wall deformity with movement of the chest wall, and a splint was devised and taped around his chest for what was suspected to be a flail chest. On hospital day 2, he was taken to the operating room for surgical rib fixation. The post Case Report: EMS Says Flail Chest, But Is It? J Surg Res.

EMS

EMS Operating Room ICU Emergency Department

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

REBEL EM

JUNE 8, 2023

Rezaie, MD (Twitter: @srrezaie ) The post The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults appeared first on REBEL EM - Emergency Medicine Blog. Am J Emerg Med. 2016; PMID: 27720568 Guest Post By: Courney Knieriem, MD PGY-1, Emergency Medicine Resident RWJBH Community Medical Center, Toms River, NJ Courtneyknieriem.md@rutgers.edu

Epinephrine

Epinephrine Emergency Department ALS Critical Care

Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

MARCH 27, 2023

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Rezaie, MD (Twitter: @srrezaie ) The post Impact of Emergency Department Crowding on Lung Protective Ventilation appeared first on REBEL EM - Emergency Medicine Blog.

Emergency Department

Emergency Department ICU Critical Care EMR

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. Open reduction in the operating room may be required if closed reduction is unsuccessful. Overview of Operating Room Procedures During Inpatient Stays in U.S. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA. Hospitals, 2018.

EMS

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

Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

JULY 17, 2023

Evaluation Imaging A definitive diagnosis of LBO requires imaging, most often a computed tomography (CT) scan with intravenous (IV) contrast. Symptomatic management for patient comfort with antiemetics and analgesics, while definitive management is undertaken, should not be overlooked. This also serves as a tool for surgical planning.

E-9-1-1

E-9-1-1 ED Operating Room ALS

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

JUNE 3, 2023

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.

ED

ED Operating Room ALS Frozen Plasma

REBEL Core Cast 133.0 – TMJ Dislocation

REBEL EM

DECEMBER 18, 2024

Temporomandibular (TMJ) Joint Dislocation Definition: Displacement of the mandibular condyle from the temporomandibular fossa. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 133.0 – TMJ Dislocation appeared first on REBEL EM - Emergency Medicine Blog. Philadelphia: Elsevier Saunders, 2014.

Operating Room

Operating Room ALS ED Emergency Department

Trifecta: Amniotic Fluid Embolism

FOAMfrat

NOVEMBER 25, 2024

Earlier in the summer, I wrote a blog discussing the challenges, intricacies, and educational pitfalls of postpartum hemorrhage in EMS. Definitive care for an intrapartum cardiac arrest is a maternal perimortem cesarian section, which may be performed by any emergency physician. I even know of cases that my colleagues have managed!

Epinephrine

Epinephrine CPR Operating Room Plasma

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

An EM Residents Guide to Basic Airway Management Authors: Justin Rice, MD Sagar Desai, MD Eunice Monge, MD William Chiang, MD Preface: Airway management is one of the most critical skills in emergency medicine, yet it can be one of the most challenging to master. But note the excellent opportunity for IV access in the EJ. Auscultation.

E-9-1-1

E-9-1-1 EMS ALS OR

Paramedicine Now

Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

EM@3AM: Retroperitoneal Hematoma

Trending Sources

Ep 164 Cardiogenic Shock Simplified

Case Report: EMS Says Flail Chest, But Is It?

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

Impact of Emergency Department Crowding on Lung Protective Ventilation

EM@3AM: Total Hip Arthroplasty Complications

Large bowel obstruction: ED presentation, evaluation, and management

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

REBEL Core Cast 133.0 – TMJ Dislocation

Trifecta: Amniotic Fluid Embolism

An EM Resident’s Guide to Basic Airway Management

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