Pediatric EM Morsels

NOVEMBER 17, 2023

Cuffed Endotracheal Tubes show no difference in immediate post-extubation adverse events (i.e Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Acad Emerg Med. Risk was Overstated! You have options, but one is more right!! Paediatr Anaesth. doi: 10.1111/pan.14185.

E-9-1-1 187

E-9-1-1 Operating Room Emergency Department ALS 187

REBEL EM

JUNE 8, 2023

From a safety standpoint this is a great thing, but also could be the reason we see such few adverse events Discussion: There is a recent “push” to utilize “Push dose pressors” as the correction of acute hypotension in a variety of clinical scenarios. In other words these were pre-made syringes and not mixed at the bedside.

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

Don't Forget the Bubbles

FEBRUARY 7, 2024

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 emergency department with acute testicular pain. A systematic review of testicle survival time after a torsion event.

Operating Room 111

Operating Room Emergency Department ALS OR 111

EMDocs

JUNE 3, 2023

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operating room. An x-ray in the trauma bay demonstrated an AP grade III fracture.

ED 64

ED Operating Room ALS Frozen Plasma 64

ACEP Now

JANUARY 12, 2024

Case A 40-year-old female at 11 weeks, five days gestation presented to the emergency department (ED) with concern for lower abdominal pressure and inability to fully empty her bladder. She reported no history of prior back surgeries, intravenous drug use, recent falls, trauma, or known inciting event.

Operating Room 52

Operating Room Emergency Department OR ED 52

REBEL EM

NOVEMBER 25, 2024

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 operating room). to 2.39) might outweigh the benefits.

Operating Room 107

Operating Room Emergency Department ICU ALS 107

Core EM

JANUARY 16, 2025

Only about 50% sensitive for detecting an esophageal intubation (Grmec 2004) and about 65% sensitive for detecting a main-stem intubation in the operating room where everything is much quieter than in the ED (Sitzwohl 2010). Engagement of the Median Glossoepiglottic Fold and Laryngeal View During Emergency Department Intubation.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130