REBEL EM

JUNE 8, 2023

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.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

ACEP Now

MARCH 14, 2024

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. 15 Definitive Treatment Definitive treatment of TIF has traditionally involved median sternotomy and ligation of the innominate artery. He has had a tracheostomy for approximately 15 months since his injury.

E-9-1-1 52

E-9-1-1 ALS Operating Room OR 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

REBEL EM

MARCH 27, 2023

Background Information: Obtaining definitive control of the airway, when indicated, is the responsibility of the emergency medicine physician. Traditionally patients were managed on the ventilator with lung volumes of 10 – 15 ml/kg.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

EMDocs

NOVEMBER 16, 2024

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. The 2018 Definition of Periprosthetic Hip and Knee Infection: An Evidence-Based and Validated Criteria. Hospitals, 2018. 2021 Aug 31. 2024 Sep;34(5):633-640.

EMS 97

EMS E-9-1-1 Operating Room Emergency Department 97

EMDocs

JUNE 3, 2023

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. For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link].

ED 64

ED Operating Room ALS Frozen Plasma 64

Don't Forget the Bubbles

FEBRUARY 7, 2024

of hospitals reported that they had to transfer patients, leading to delays in definitive care. Time is testicle , reminding us that the sooner we get a definitive diagnosis and treatment, the more likely we are to save future generations. This dropped to 79.3%

Operating Room 111

Operating Room Emergency Department ALS OR 111

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 98

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

Emergency Department 52

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

ACEP Now

APRIL 4, 2024

CT is more definitive but can take more time. Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Bedside US can confirm the presence of AAA, but visualization of the actual rupture may be more difficult because most AAAs rupture into the retroperitoneal space.

Operating Room 40

Operating Room ALS ED Emergency Department 40

ALiEM

FEBRUARY 12, 2024

Obstetrics and Gynecology was consulted for definitive management. The patient was taken to the operating room for dilation and curettage and was discharged the following day.

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.

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. However, despite that, my mind kept going back to the female patient who suffered an intrapartum cardiac arrest.

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