Pediatric EM Morsels

JULY 19, 2024

Previously, we covered Post-Tonsillectomy Hemorrhage and how we hope that “all bleeding eventually stops: ideally, by means that we have imposed rather than by exhaustion of the patient’s RBC resources.” Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage.

E-9-1-1 290

E-9-1-1 Epinephrine Emergency Department OR 290

The Bottom Line

JULY 19, 2024

In critically ill patients undergoing tracheal intubation does pre-oxygenation with non-invasive ventilation compared with pre-oxygenation with an oxygen mask reduce the incidence of hypoxemia during intubation?

120

120

Dr. Smith's ECG Blog

JULY 19, 2024

Written by Pendell Meyers, with edits by Smith A man in his 80s presented with acute chest pain and normal vital signs. Here is his triage ECG at time = 0: What do you think? (No prior ECG was available for comparison) The ECG shows ventricular paced rhythm with findings very suspicious for posterior OMI, including inappropriately isoelectric ST segments in V2-V3 (we know by the principle of appropriate discordance that there should be appropriately discordant STE in these leads).

Coronary 115

Coronary STEMI OR ALS 115