Critical Care Scenarios

JULY 11, 2021

Dennis Kim ( @traumaicurounds ), associate professor of Clinical Surgery at UCLA and medical director of the Harbor-UCLA Medical Center SICU, as well as host of the Trauma ICU Rounds podcast. pneumatically), then definitively addressed by Orthopedics at their convenience. Traction splinting is usually not done in the ED.

Operating Room 100

Operating Room ICU ED OR 100

EMDocs

SEPTEMBER 7, 2024

Disposition: Consider ICU for many patients, especially if any signs of instability or repeatedly requiring blood products. The time taken to measure serum hemoglobin and hematocrit (B) and await a result would delay definitive surgical control of likely ongoing hemorrhage given this patient’s incomplete response to fluid resuscitation.

EMS 97

EMS E-9-1-1 Operating Room OR 97

REBEL EM

JUNE 8, 2023

The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. Potential to Impact Current Practice: Initiatives should be made at the institution level to develop in-service education sessions, policies and procedures for the safe administration of PDPs in the acute hypotensive period. J Med Toxicol.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

ACEP Now

MAY 4, 2023

The chest X-ray showed multiple displaced right rib fractures and chest wall subcutaneous emphysema without definitive evidence of a pneumothorax, as well as right lower lobe atelectasis versus contusion (Figure 1). On hospital day 2, he was taken to the operating room for surgical rib fixation.

EMS 52

EMS Operating Room ICU Emergency Department 52

REBEL EM

MARCH 27, 2023

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. 2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Paper: Owyang CG, et al. J Crit Care.

Emergency Department 52

Emergency Department ICU Critical Care EMR 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. 9 PFE is only definitively diagnosed on autopsy and a high clinical suspicion must be maintained in high-risk patients.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

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