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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

Their hospital has struggled with a growing number of adverse events that often occur without warning. With emergency department (ED) volumes rising, administrators are eager to explore AI-driven solutions to improve patient safety and reduce staff burnout. Reference: Verma et al.

ICU 277
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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Intubated, awake, and paralysed: a never event. Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED). Br J Anaesth.

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

TXA has been mentioned previously on PEM Morsels in the following contexts: Post Tonsillectomy Hemorrhage , Hemophilia in the ED , Von Willebrand Disease , Epistaxis in Children , Hereditary Angioedema , Hemoptysis in Children , Hyphema , and even in Neonatal Subgaleal Hemorrhage. 2010Jul 03;376(9734):23-32.

E-9-1-1 231
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The Kids THRIVE study: high-flow apnoeic oxygenation for intubation

Don't Forget the Bubbles

A total of eleven intensive care units (ten PICUs and one non-maternity NICU) and four emergency departments (EDs) took part in the study. In NICU patients, the nasal high-flow group experienced fewer hypoxaemic events, although there was no difference in first-attempt intubation success between the groups. in the standard care group.

ICU 108
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Elder Male with Syncope

EMS 12-Lead

At the time of ED arrival he was alert, oriented, and verbalizing only a headache with a normalized BP. He denied any specific prodrome of gross palpitations, however did endorse feeling quite dizzy just before the event. The ED activated trauma services, and a 12 Lead ECG was captured. The fall was not a mechanical etiology.

Coronary 290
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SGEM#445: Why Can’t We Be Friends – Conflict in Emergency Medicine

The Skeptics' Guide to EM

The emergency department (ED) evaluation reveals an unremarkable chemistry panel with normal renal function and a white blood cell count of 10,000. Background: We have discussed agitation in the ED on the SGEM several times. They are afebrile and tolerate oral intake. These conflicts can ultimately lead to moral injury [1,2,3].

ED 242
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Systemic Steroids: An ED Focused Overview

EMDocs

Yoo, MD (Assistant Professor/Core Faculty, San Antonio, TX) // Reviewed by Brit Long, MD (@long_brit) Case An 18-year-old man with a history of asthma and medication noncompliance presents to the emergency department (ED) with acute onset shortness of breath. He states that he recently moved to Texas from Colorado. Which one do you select?

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