Remove ICU Remove Operating Room Remove OR
article thumbnail

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)).

article thumbnail

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 (..)

ICU 81
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

article thumbnail

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.

EMS 74
article thumbnail

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.

article thumbnail

Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

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.

article thumbnail

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.

EMS 52