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EM@3AM: Retroperitoneal Hematoma

EMDocs

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 75
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Episode 35: When to operate in trauma with Dennis Kim

Critical Care Scenarios

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.

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

ACEP Now

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
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

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.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

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.

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

REBEL EM

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.