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EM@3AM: Retroperitoneal Hematoma

EMDocs

We’ll keep it short, while you keep that EM brain sharp. F, RR 16, SpO2 97% on room air. Disposition: Consider ICU for many patients, especially if any signs of instability or repeatedly requiring blood products. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank.

EMS 74
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EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Core EM

95% CI (1.46, 2.84)) and the need for an emergent intervention (aOR 1.38, 95% CI (1.15, 1.66)).

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Case Report: EMS Says Flail Chest, But Is It?

ACEP Now

EMS recognized a chest wall deformity with movement of the chest wall, and a splint was devised and taped around his chest for what was suspected to be a flail chest. On hospital day 2, he was taken to the operating room for surgical rib fixation. The post Case Report: EMS Says Flail Chest, But Is It? J Surg Res.

EMS 52
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The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection

REBEL EM

2020 Mar 14; PMID: 32183395 Post Peer Reviewed By : Salim Rezaie, MD (Twitter/X: @Srrezaie ) The post The PROTECTION Trial – A Randomized Trial of Intravenous Amino Acids for Kidney Protection appeared first on REBEL EM - Emergency Medicine Blog.

ICU 81
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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

2 Finally the settings initiated early in a patient’s care are often carried forward unchanged into their hospital and ICU stay. 2019 Aug; PMID: 30954692 Clinical Question: What is the impact of system factors in the implementation of standard-of-care LPV in critically ill ED patients admitted to the ICU? Paper: Owyang CG, et al.

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. Rezaie, MD (Twitter: @srrezaie ) The post The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults appeared first on REBEL EM - Emergency Medicine Blog. J Med Toxicol. Epub 2019 Jul 3. Intensive Care Med.