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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. Disposition: Consider ICU for many patients, especially if any signs of instability or repeatedly requiring blood products. Majority of RPH will stabilize on their own and not require intervention.

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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. Operative prep for exploratory laparotomy is usually from the chin to the knees. The treatment for bleeding is hemostasis.* Abthera) placed.

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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

His vital signs were within normal limits except for a respiratory rate of 23 with a room air pulse oxygen in the upper 90s. On hospital day 2, he was taken to the operating room for surgical rib fixation. The splint consisted of a folded blanket placed over the mobile segment and held in place with tape.

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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. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter. units per patient.

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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)). 95% CI (1.46, 2.84)) and the need for an emergent intervention (aOR 1.38, 95% CI (1.15, 1.66)).

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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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