Pediatric EM Morsels

NOVEMBER 17, 2023

Cuffed Endotracheal Tubes show no difference in immediate post-extubation adverse events (i.e 0.41), p < 0.001. – Cuffed Endotracheal Tubes offer multiple advantages over uncuffed ETTs. Risk was Overstated! post-extubation stridor) and likely have no long term adverse effects when compared to uncuffed endotracheal tubes.

E-9-1-1 187

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

ESO

MARCH 7, 2024

Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operating room within 24 hours. A major benefit of the Trauma Index is that it not only examines this year’s performance, but also makes comparisons to the previous years’ data.

Operating Room 105

Operating Room ICU OR ED 105

Don't Forget the Bubbles

NOVEMBER 22, 2023

A systematic review examined 69 articles (mostly cohort studies and clinical trials) looking at the common adverse events (not just PRIS) following the use of propofol in children and neonates. Only one of these studies was undertaken in an intensive care setting, and it did not report any cases of PRIS.

E-9-1-1 126

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

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

REBEL EM

AUGUST 12, 2024

It’s important to note that there were no significant differences between the two groups in the number of patients with prespecified adverse events. However, there was no mention of using alternatives or future studies on other amino acid formularies given that 6 others exist 3 and whether the benefit was seen with this particular compound.

ICU 81

ICU Operating Room Critical Care ALS 81

Paramedic Training Spot

JANUARY 20, 2022

Students must complete a minimum of 250 hours of clinical experience in the hospital setting including the emergency room, operating room, and labor and delivery. This is followed by 250 hours of clinical externship, also called “ride time”, on an ambulance under the supervision of a licensed paramedic.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

EMDocs

JUNE 3, 2023

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. Preperitoneal Packing While most often done in the operating room, PPP may be done in the trauma bay in rare instances depending on the institution.

ED 66

ED Operating Room ALS Frozen Plasma 66