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. What is the problem?

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. What are the clinical features of PRIS? References Bray RJ. Paediatric anaesthesia.

E-9-1-1 126

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

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. His vital signs were within normal limits except for a respiratory rate of 23 with a room air pulse oxygen in the upper 90s. A chest tube was placed at that time.

EMS 52

EMS Operating Room ICU Emergency Department 52

REBEL EM

JUNE 8, 2023

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

REBEL EM

AUGUST 12, 2024

What They Did: Double-blind, randomized, placebo controlled trial that ran from October 2019 through January 2024 Multinational study conducted at 22 centers in three European countries 3512 patients were enrolled and before surgery eligible patients were randomly assigned to one of the following two groups Amino Acid Group: 10% Isopuramin at a dose (..)

ICU 81

ICU Operating Room Critical Care ALS 81

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

Paramedic Training Spot

JANUARY 20, 2022

Some states and programs also require EMT students to complete 24 to 48 hours of clinical time working in an emergency room and/or ambulance under the supervision of a certified EMT, paramedic, or registered nurse. Another option is to complete your training through a private school that specializes in initial training for EMS providers.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

REBEL EM

MARCH 27, 2023

First ED-based study to evaluate how operational effects such as crowding can affect patient care in the form of LPV Included ARDS criteria relating to the usage of LPV in the ED allowing evaluation as to whether patients with ARDS were more likely to receive LPV settings. of patients left the ED on TV settings of 450 mL and 36.1%

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. 4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 2% of THA will have a post operative deep space infection.

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 66

ED Operating Room ALS Frozen Plasma 66

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. 2-3 Risk Factors CRC is the most common underlying etiology of LBO.

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. The placenta wants to connect to the uterine wall at a location that allows good communication between the two. This causes the placenta to look elsewhere for an attachment site with better circulation. volume resuscitation is necessary.

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. airway scope).

Operating Room 107

Operating Room Emergency Department ICU ALS 107

REBEL EM

DECEMBER 18, 2024

Diagnosis: Diagnosis can be made based on clinical exam alone Physical exam Inability to close the mouth Garbled speech Drooling. Anterior dislocations: palpation of the TMJ can reveal one or both of the condyles to be anteriorly displaced in front of the articular eminence.

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! AFEs are rare, and little is known about the etiology of their development or the pathophysiology of their damage. But how do we manage them?

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. Practice may not achieve perfection, but it will make you better.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130