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A narrow pulse pressure has been shown to predict the need for hemorrhage control in the ED setting but has not been assessed as a predictor in the prehospital setting. A narrow pulse pressure occurs due to compensatory increased systemic vascular resistance in the setting of decreased cardiac output.
Dennis Kim ( @traumaicurounds ), associate professor of Clinical Surgery at UCLA and medical director of the Harbor-UCLA Medical Center SICU, as well as host of the Trauma ICU Rounds podcast. Traction splinting is usually not done in the ED. Instead of giving TXA as the CRASH dose of 1 g up front plus a 1 g drip, give 2 g upfront.
of patients with open long bone fractures receive antibiotics within the critical first 60 minutes of ED arrival. Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operatingroom within 24 hours.
A 70-year-old female with a past medical history of hypertension, coronary artery disease s/p 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. F, RR 16, SpO2 97% on room air. Vital signs include BP 90/48, HR 122, T 98.3
2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The typical nursing to patient ratio is 1:3 with a shared respiratory therapist for the entire ED.
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. The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. J Med Toxicol. Epub 2019 Jul 3. PMID: 31270748 Maheshwari K, et al. Am J Emerg Med.
A 58-year-old male with a history of alcohol abuse presented to the emergency department (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). Click to enlarge.)
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. The data that are available come largely based on voluntary reporting, physician surveys, or autopsies. units per patient.
Included patients from out-of-hospital, emergency department, intensive care unit, and operating-room intubations. Intubation performed in all settings (out-of-hospital, emergency department, ICU, and operatingroom). Randomized controlled trials or comparative non-randomized observational studies.
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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