2021 and Operating Room - Paramedicine Now

Threading the Needle: Bougie-First Intubation

REBEL EM

NOVEMBER 25, 2024

1 Conversely, the 2021 BOUGIE trial—a larger, multicenter randomized clinical trial conducted by the same investigators—found no significant difference in first-attempt intubation success between the bougie and an endotracheal tube with stylet among critically ill adults. PMID: 34879143 Apfelbaum JL, Hagberg CA, Connis RT, et al.

Operating Room

Operating Room Emergency Department ICU ALS

EM@3AM: Total Hip Arthroplasty Complications

EMDocs

NOVEMBER 16, 2024

Open reduction in the operating room may be required if closed reduction is unsuccessful. Overview of Operating Room Procedures During Inpatient Stays in U.S. 2021 Aug 31. 2021 Mar;33(1):11-17. Epub 2021 Mar 2. Epub 2021 Jun 12. Rosh Review Website Link References: McDermott KW, Liang L.

EMS

EMS E-9-1-1 Operating Room Emergency Department

Expedient Field Amputations

JEMS

JULY 9, 2025

Although scalpels and Gigli saws are routinely employed in hospital operating rooms, a Gigli saw is an instrument that emergency medicine physicians may not have encountered in their training. 2021 Mar;41:104-109. Unsurprisingly, the use of a Gigli saw is not included in the standard paramedic curriculum. Am J Emerg Med.

E-9-1-1

E-9-1-1 EMT Mobile Integrated Health EMT

EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Core EM

JANUARY 25, 2024

2021 Background Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. Read More PEMCAR iBook (Apple version) PEMCAR iBook (PDF) EMCAR – Prehospital Traumatic Narrow Pulse Pressure – J Surg Res 2021 Read More Prehospital hypotension is one of those criteria.

Operating Room

Operating Room EMS ED ICU

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

NOVEMBER 17, 2023

2021 Jun;31(6):713-719. Epub 2021 Apr 11. 0.41), p < 0.001. References : To YH, Ong YG, Chong SL, Ang PH, Bte Zakaria ND, Lee KP, Pek JH. Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments. Paediatr Anaesth. doi: 10.1111/pan.14185. PMID: 33774880.

E-9-1-1

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

In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical’s Greg Mielke

Medgadget

NOVEMBER 8, 2022

Medgadget spoke with Steve Anderson , CEO of Preceptis Medical, back in March 2021. Greg Mielke, Preceptis Medical: Today, approximately one million children undergo ear tube procedures annually in an operating room in the United States.

Operating Room

Operating Room OR

Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

JULY 17, 2023

In these cases, CT may not be feasible and a plain radiograph showing free air or bedside US showing free fluid may be useful to confirm serious abdominal pathology prior to transfer to the operating room. Published 2021 Apr 22. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome.

E-9-1-1

E-9-1-1 ED ALS Operating Room

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

MAY 9, 2024

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. Aesthetic Plastic Surgery National Databank Statistics 2020–2021. Accessed March 6, 2024. Aesthet Surg J.

Emergency Department

Emergency Department Operating Room Critical Care ICU

Testicular torsion

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Time is testicle , reminding us that the sooner we get a definitive diagnosis and treatment, the more likely we are to save future generations. This dropped to 79.3% Barbosa, J.A., Nahas, W.C.

Operating Room

Operating Room ALS Emergency Department OR

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

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

ED Operating Room ALS Frozen Plasma

SAEM Clinical Images Series: One Month of Vaginal Bleeding

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. 2, 2021, pp. These images, taken by point of care ultrasound, show a heterogenic mass with mixed echogenicities within the uterine cavity consistent with gestational trophoblastic disease or molar pregnancy.

Operating Room

Operating Room Emergency Department ALS OR

Escape Room - Placenta Previa

FOAMfrat

MARCH 11, 2024

According to Salim and Satti (2021), some of the others include: Uterine Surgery Increased Maternal age (>35 years old) High Parity Multiple Fetal Gestation Smoking / Drug use The mechanism for the placenta forming in a less-than-ideal place is that scars leave poorly vascularized areas of the uterine wall. What about Oxygen? & Satti, I.

Operating Room

Operating Room ALS OR Ambulance

New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

ACEP Now

APRIL 4, 2024

Other exceptions are patient refusal, patient death or immediate transfer to the operating room. Ann Surg 2021; 274: e160-e166. Feasibility of preoperative computer tomography in patients with ruptured abdominal aortic aneurysm: a time-to-death study in patients without operation. Boca Raton, FL:CRC Press; 2013.

Operating Room

Operating Room ALS ED Emergency Department

First10EM Journal Club: May 2024

Broome Docs

APRIL 30, 2024

Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. 2021 Oct;38(10):446-448. 2024 Mar 18:e240762. doi: 10.1001/jama.2024.0762. PMID: 38497992 Preventing poison ivy? N Engl J Med. 2024 Apr 4;390(13):1186-1195. doi: 10.1056/NEJMoa2309003.

Operating Room

Operating Room Critical Care ED OR

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

Pressing on it with your blade has been shown to be associated with better views (Driver 2021). Figure 21: Showing how pressure on the hyoepiglottic ligament gives a good view (cadaver views adapted from Driver 2021) You may or may not have a view at this point. Ever wonder how hard you would need to lift to break the blade?

E-9-1-1

E-9-1-1 EMS ALS OR

Paramedicine Now

Threading the Needle: Bougie-First Intubation

EM@3AM: Total Hip Arthroplasty Complications

Trending Sources

Expedient Field Amputations

EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Cuffed Endotracheal Tubes for Children: ReBaked Morsel

In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical’s Greg Mielke

Large bowel obstruction: ED presentation, evaluation, and management

Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

Testicular torsion

Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

SAEM Clinical Images Series: One Month of Vaginal Bleeding

Escape Room - Placenta Previa

New Quality Measure Improves Screening for Abdominal Aortic Aneurysm

First10EM Journal Club: May 2024

An EM Resident’s Guide to Basic Airway Management

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