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Trick of Trade: Dual Foley catheter to control massive epistaxis

ALiEM

Initial Management After a rapid assessment, we inserted an anterior nasal pack, soaked in epinephrine, TXA, and an antibiotic-based lubricant. Trick of the Trade: Dual Catheter Technique To provide optimal surface area coverage and tamponade effect of the posterior vessels, concurrent anterior packing is usually needed [1].

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! If bleeding, the only lab that is needed in the Emergency Department is a type and cross.

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The Broselow-Luten System

Pediatric EM Morsels

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Prehosp Emerg Care. Patient safety in the pediatric emergency care setting. Int J Emerg Med.

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Bubble Wrap PLUS – May 2024

Don't Forget the Bubbles

You will find the list is broken down into four sections: 1.Reviews 2024 Apr 9. A silent scream in the pediatric emergency department: child abuse and neglect. 2024 Apr 9:S0890-8567(24)00184-9. 2024 Apr 9. Reviews and opinion articles Approach to simple kidney cysts in children. Dell KM, et al.

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Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Here they are: Learning Points: 1. The physicians found him to be in s hock, with very poor O2 saturations. He was intubated and then went pulseless. You diagnose Myo(peri-)carditis at your peril.

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Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Kirkegaard H, Soreide E, de Haas, I et al. De Fazio C, Skrifvars MB, Soreide E et al. 2019;23(1):1–9.

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REBEL Core Cast 108.0 – Angioedema

REBEL EM

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01