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EM@3AM: Retroperitoneal Hematoma

EMDocs

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%.

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Episode 35: When to operate in trauma with Dennis Kim

Critical Care Scenarios

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.

professionals

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Data Cafe Insights: 2023 ESO Trauma Index Overview

ESO

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. This rapid intervention reduced complications and highlights the need for maintaining and improving such protocols.

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

ACEP Now

On hospital day 2, he was taken to the operating room 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.

EMS 52
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. units per patient.

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

REBEL EM

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 (..)

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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)).