ALiEM

AUGUST 7, 2023

A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm.

Emergency Department 246

Emergency Department OR EMS ED 246

Don't Forget the Bubbles

AUGUST 7, 2023

Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., PEWS). Vital signs outside the normal range are used as a proxy for the severity of illness and are also used in evaluating the risk for serious bacterial infection or risk for sepsis in children and young people (CYP).

Life Support 98

Life Support Advanced Life Support ALS Emergency Department 98

REBEL EM

AUGUST 7, 2023

Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation. The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge.

ALS 92

ALS OR EMS 92

Medgadget

AUGUST 7, 2023

Researchers at the Harvard Wyss Institute have developed an anti-cancer biomaterial treatment that combines adoptive T cell therapy and cancer vaccine technology to treat solid tumors. The researchers have called their technique SIVET, which is short for “synergistic in situ vaccination enhanced T cell”. The approach combines local delivery of cytotoxic T cells with longer lasting cancer vaccine technology that engages with the immune system more broadly for long lasting anticancer action.

76

76

EMDocs

AUGUST 7, 2023

Authors: Lauren Willoughby, MD (Education Fellow, University of Wisconsin); Benjamin H. Schnapp, MD, MEd (Associate Program Director, University of Wisconsin) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF), Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 36-year-old pregnant woman at 21 weeks gestation presents to the ED with chest pain.

E-9-1-1 69

E-9-1-1 ALS Plasma OR 69

Medgadget

AUGUST 7, 2023

Researchers at the Institute of Science and Technology Austria have developed a brain imaging technique called Live Information Optimized Nanoscopy Enabling Saturated Segmentation (LIONESS). The method lets the researchers create high-resolution 3D images of living brain tissue that reveal its cellular complexity, and even how it changes over time, allowing for monitoring of neural plasticity.

OR 67

OR 67

University of Maryland Department of Emergency Med

AUGUST 7, 2023

Targeted Therapeutic Mild Hypercapnia after Resuscitated Cardiac Arrest (TAME) Current guidelines recommend normocapnia for out-of-hospital card.

OR 57

OR 57