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The sonographic protocol for the emergent evaluation of aortic dissections (SPEED protocol): A multicenter, prospective, observational study. Date: February 28, 2024 Guest Skeptic: Dr. Neil Dasgupta is an emergency medicine physician and ED intensivist from Long Island, NY. AEM February 2024.
A young woman, 13 days post-tonsillectomy, comes into your rural emergencydepartment (ED) coughing up blood. Managing post-tonsillectomy hemorrhage in the ED can be challenging, especially in rural or resource-limited settings. Clin Pract Cases Emerg Med. Hemoptysis ED approach and management.
In 1901, UVA opened its first hospital with 25 beds and three operatingrooms. The emergencydepartment (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. The ED went from daily volumes of 180 patients per day [PPD] to over 210 PPD.)
Over the past few years, there has been an increase in emergencydepartment (ED) volumes and lengths of stay. The result of this ED capacity strain and less than ideal patient to staff ratios has led to delays in interventions, treatments and care adjustments. Paper: Owyang CG, et al. J Crit Care. J Crit Care.
In her spare time, Melissa also enjoys being the fellowship director to an amazing group of PEM trainees. Case: Brian is a 14-year-old male who presents to the emergencydepartment (ED) complaining of acute onset testicular pain. He has vomited twice, but there is no history of any fever or trauma. AEM Dec 2017.
A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operatingroom videos, recovery tips, and patients praising their plastic surgeon. Familiarity with post-op restrictions for gluteal AFT patients will also improve their care in the emergencydepartment.
PECARN prediction rule for cervical spine imaging of children presenting to the emergencydepartment with blunt trauma: a multicentre prospective observational study. Children in the validation cohort were admitted to the intensive care unit or operatingroom less frequently than those in the derivation cohort.
This study chose a relevant topic to analyze that could influence acute management in the ED and has a fairly larger sample size of patients to do so. If pre-made syringes are not financially feasible then the creation of these medications should be done by a dedicated emergencydepartment pharmacist. Am J Emerg Med.
Thanks to the American College of Surgeons and the Institute for Healthcare Improvement, who, along with the American College of Emergency Physicians (ACEP), spearheaded the rule development, the new measure will encourage hospital systems to change the way they approach care for older patients.
The standard care in North America for post-traumatic EDH involves decompressive craniotomy or trepanation via a burr hole, typically performed in an operatingroom by neurosurgery teams. Initially refusing emergency medical services, she was brought to the ED via a private vehicle. What are the key takeaways? (1)
A 58-year-old male with a history of alcohol abuse presented to the emergencydepartment (ED) as a category 2 trauma for a fall with a reported flail chest. On hospital day 2, he was taken to the operatingroom for surgical rib fixation. Case FIGURE 1: Chest X-ray of multiple rib fractures (arrows).
A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergencydepartment (ED) for an electrical injury and fall from a high voltage electrical pole. In the operatingroom, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia.
1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. 4 Pain is the most common reason for presentation in the early post operative period. 10% of patients.
and is poorly tolerated by patients with obstruction, it should not be a routine part of the ED evaluation for LBO unless it is critical for another diagnosis on the differential. Am J Emerg Med. Bowel Perforation: ED Presentations, evaluation and management. He reports distension and the sensation of fullness. Adv Cancer Res.
C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. The nuances of fracture patterns and delineating mechanically unstable pelvic fractures from stable ones is less important to the ED. 12 An AP x-ray of the pelvis should be obtained in the ED for unstable patients.
The sensitivity of these scores range, but they cannot exclude FG diagnosis and may have lower sensitivity when used for prediction in ED patient populations. A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operatingroom. West J Emerg Med.
My first real encounter with the healthcare system took place when I was about seven years old and had to go into hospital for an orchidopexy, so I can empathize with all the young people who come through our emergencydepartment with acute testicular pain. Clinical predictors for testicular torsion as seen in the pediatric ED.
Case A 40-year-old female at 11 weeks, five days gestation presented to the emergencydepartment (ED) with concern for lower abdominal pressure and inability to fully empty her bladder. The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operatingroom to manually reduce the uterus.
3 The majority of those who arrive to the emergencydepartment (ED) live for 2 hours or more, leaving a small window for surgical intervention. Other exceptions are patient refusal, patient death or immediate transfer to the operatingroom. Bailey & Love’s short practice of surgery, 26th ed.
Included patients from out-of-hospital, emergencydepartment, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergencydepartment, ICU, and operatingroom).
The “syringe” technique: a hands-free approach for the reduction of acute nontraumatictemporomandibulardislocations in the emergencydepartment. J Emerg Med. Rosens Emergency Medicine: Concepts and Clinical Practice, 7 ed. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. Louis, Mosby, Inc.,
While this guide isnt exhaustive, its designed by residents, for residents, to provide practical tips and foundational knowledge thats crucial in the fast-paced, high-stakes environment of the ED. Introduction Airway management is a critical ED skill to master. So the actual benefit for most ED patients is unclear.
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