ACEP Now

MAY 4, 2023

His vital signs were within normal limits except for a respiratory rate of 23 with a room air pulse oxygen in the upper 90s. 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).

EMS 52

EMS Operating Room ICU Emergency Department 52

ACEP Now

MARCH 14, 2024

Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement. He has had a tracheostomy for approximately 15 months since his injury. Blood is spurting from the orifice of the tube. In one case series of seven patients, the average patient age was 15.7

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. Patients admitted to the ICU and/or patients requiring mechanical ventilation are cohort to these 5 beds.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 98

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

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. Introduction The pelvic ring is made up of the bony ilium, ischium, pubis, and sacrum, which are held together with ligaments.

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% How do you diagnose torsion? It is fully developed by 30 months.

Operating Room 111

Operating Room Emergency Department ALS OR 111

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 2-3 Risk Factors CRC is the most common underlying etiology of LBO.

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. The classic triad of abdominal pain, hypotension and pulsatile abdominal mass is present in less than 25 percent of patients. About 35 percent of individuals with rAAA will die at home.

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. She endorsed worsening nausea and vomiting over the past two weeks. She has been sexually active since her last encounter.

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. Diagnosis: Diagnosis can be made based on clinical exam alone Physical exam Inability to close the mouth Garbled speech Drooling.

Operating Room 52

Operating Room ALS ED Emergency Department 52

FOAMfrat

NOVEMBER 25, 2024

Epidemiology Amniotic fluid embolism (AFE) is an incredibly rare yet catastrophic pathology during which fetal debris and/or amniotic fluid enters the maternal central circulation in the third trimester of pregnancy or, most commonly, during the labor process. Regardless, she complains of sudden and severe shortness of breath.

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Practice may not achieve perfection, but it will make you better. fiber optic through the nose).

E-9-1-1 130

E-9-1-1 EMS ALS OR 130