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Dennis Kim ( @traumaicurounds ), associate professor of Clinical Surgery at UCLA and medical director of the Harbor-UCLA Medical Center SICU, as well as host of the Trauma ICU Rounds podcast.
Surgical Repair of Hip Fractures: Demonstrating effective care prioritization, 94% of older adults with hip fractures were moved to the operatingroom within 24 hours. This rapid intervention reduced complications and highlights the need for maintaining and improving such protocols.
Disposition: Consider ICU for many patients, especially if any signs of instability or repeatedly requiring blood products. All patients typically require admission for a new spontaneous retroperitoneal hematoma for monitoring and decisions regarding when or if to restart anticoagulation. Mortality can varies between 5-20%.
The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. Human Errors and Adverse Hemodynamic Events Related to “Push Dose Pressors” in the Emergency Department. J Med Toxicol. Epub 2019 Jul 3. PMID: 31270748 Maheshwari K, et al. Intensive Care Med. 2018;44(6):857–67.
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.
On hospital day 2, he was taken to the operatingroom for surgical rib fixation. The trauma team placed a pigtail catheter in the right chest cavity to decompress the pneumothorax and the patient was admitted to the surgical intensive care unit. The patient continued to have an oxygen requirement and significant pain.
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 (..)
A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operatingroom videos, recovery tips, and patients praising their plastic surgeon. units per patient.
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 operatingroom). Randomized controlled trials or comparative non-randomized observational studies.
It is true, someone finally did an RTC on ICU level patients and found that first pass success IS better with VL than DL (Prekker 2023), but the fact remains that sometimes VL fails. 3) All India Difficult Airway Algorithm for ICU patients Figure 64 (from Myatra 2016) Indian guidelines- similar to British in defaulting to cricoid pressure.
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