ACEP Now

MAY 4, 2023

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

EMS Operating Room ICU Emergency Department 52

Don't Forget the Bubbles

JUNE 19, 2024

Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record.

CPR 124

CPR Operating Room OR Emergency Department 124

Don't Forget the Bubbles

NOVEMBER 22, 2023

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. Filho EM, Riechelmann MB. Paediatric anaesthesia. 1998;8(6):491-9. Folino, T.B. 2023) ‘Propofol’, in StatPearls.

E-9-1-1 126

E-9-1-1 Critical Care Operating Room ALS 126

ACEP Now

MARCH 14, 2024

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Per EMS, the patient was found at the bottom of a high voltage line with diffuse burns and amputation of his left forearm.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

REBEL EM

JUNE 8, 2023

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. Am J Emerg Med. 2016; PMID: 27720568 Guest Post By: Courney Knieriem, MD PGY-1, Emergency Medicine Resident RWJBH Community Medical Center, Toms River, NJ Courtneyknieriem.md@rutgers.edu

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

REBEL EM

AUGUST 12, 2024

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

ICU Operating Room Critical Care ALS 81

Paramedic Training Spot

JANUARY 20, 2022

Another option is to complete your training through a private school that specializes in initial training for EMS providers. Regardless of the type of school you attend, however, it is imperative that they be accredited by the Committee on Accreditation of Educational Programs for the EMS Profession (CoAEMSP).

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

REBEL EM

MARCH 27, 2023

Rezaie, MD (Twitter: @srrezaie ) The post Impact of Emergency Department Crowding on Lung Protective Ventilation appeared first on REBEL EM - Emergency Medicine Blog.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. Open reduction in the operating room may be required if closed reduction is unsuccessful. Overview of Operating Room Procedures During Inpatient Stays in U.S. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA. Hospitals, 2018.

EMS 98

EMS E-9-1-1 Operating Room Emergency Department 98

EMDocs

JUNE 3, 2023

C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.

ED 64

ED Operating Room ALS Frozen Plasma 64

EMDocs

JULY 17, 2023

In these cases, CT may not be feasible and a plain radiograph showing free air or bedside US showing free fluid may be useful to confirm serious abdominal pathology prior to transfer to the operating room. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome.

E-9-1-1 98

E-9-1-1 ED Operating Room ALS 98

FOAMfrat

MARCH 11, 2024

However, we may need to temporize the patient before they can get to an operating room. However, in everything I read, I think the most critical aspects for EMS to know about placenta previa are as follows: 1: Your exam needs to be sensitive to placenta previa. This is where intrauterine resuscitation comes into play.

Operating Room 64

Operating Room ALS OR Ambulance 64

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). Randomized controlled trials or comparative non-randomized observational studies. N Engl J Med.

Operating Room 107

Operating Room Emergency Department ICU ALS 107

REBEL EM

DECEMBER 18, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 133.0 – TMJ Dislocation appeared first on REBEL EM - Emergency Medicine Blog. Philadelphia: Elsevier Saunders, 2014. Ch 63: 1298-1341 Post Peer Reviewed By: Salim R.

Operating Room 52

Operating Room ALS ED Emergency Department 52

FOAMfrat

NOVEMBER 25, 2024

Earlier in the summer, I wrote a blog discussing the challenges, intricacies, and educational pitfalls of postpartum hemorrhage in EMS. I even know of cases that my colleagues have managed!

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Core EM

JANUARY 16, 2025

An EM Residents Guide to Basic Airway Management Authors: Justin Rice, MD Sagar Desai, MD Eunice Monge, MD William Chiang, MD Preface: Airway management is one of the most critical skills in emergency medicine, yet it can be one of the most challenging to master. Auscultation. Observation of chest rise. Even worse.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130