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Data Cafe Insights: 2023 ESO Trauma Index Overview

ESO

Blood Component Timing: It was documented that 76% of patients requiring PRBCs received them within four hours of arriving at the hospital. Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operating room within 24 hours.

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Cervical Spine Imaging in Kids – the PECARN rule

Don't Forget the Bubbles

Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record.

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Case Report: a High-Voltage Victim

ACEP Now

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

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Re-Engineering Flow in an Academic Emergency Department

ACEP Now

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. They also developed standard work documents for each role. The University of Virginia (UVA) School of Medicine was founded in 1819 by Thomas Jefferson and is one of the oldest medical schools in the United States.

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

REBEL EM

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

What They Did: Double-blind, randomized, placebo controlled trial that ran from October 2019 through January 2024 Multinational study conducted at 22 centers in three European countries 3512 patients were enrolled and before surgery eligible patients were randomly assigned to one of the following two groups Amino Acid Group: 10% Isopuramin at a dose (..)

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

There may have very well been a policy where only RTs can make changes to a ventilator after an order was placed to ensure accurate documentation. Unfortunately, its not clear whether the documentation came from RTs or ED providers. Females and patients with increased BMI are at increased risk of not being placed on LPV.