Remove ALS Remove Blog Remove Emergency Department
article thumbnail

US Probe: Velocity Time Integral (VTI) in Sepsis Management

EMDocs

In emergency departments, determining a septic patient’s fluid responsiveness can be challenging, as both under- and over-resuscitation can lead to poor outcomes. It is an essential metric for estimating cardiac output without the need for invasive procedures within the emergency department. F, and SpO₂ 92% on room air.

article thumbnail

Elbow Dislocations

REBEL EM

Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. Anatomy, Shoulder and Upper Limb, Radial Nerve. 2023 Nov 5. In: StatPearls [Internet].

E-9-1-1 99
professionals

Sign Up for our Newsletter

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

article thumbnail

Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

The Bottom Line: HEAT Trial Acetaminophen for Fever in critically Ill Patients with Suspected Infection The SGEM: SGEM #146 The Heat is On IV Acetaminophen for Fever in the ICU References Young, P et al. PMID: 26436473 Schortgen F et al. PMID: 22366046 Sunden-Culberg J et al. NEJM 2015; 373(23): 2215-24.

ICU 72
article thumbnail

OMI, NOMI, and EMS: The Case for EMS Recognition of Occlusive MI

NAEMSP

Hershey Medical Center Editors : Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a rural, advanced life support (ALS) agency and you are called to a 62-year-old gentleman with chest pain. A recent study by Palladino et.

EMS 69
article thumbnail

Threading the Needle: Bougie-First Intubation

REBEL EM

Paper: von Hellmann R, Fuhr N, Maia IWA, et al. Ann Emerg Med. 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 operating room). 2024 Feb 83(2):132-144.

article thumbnail

A Simplified Protocol for Intralipid Administration in the Emergency Dept.

ACEP Now

A Simplified Protocol for Intralipid Administration in the ED Ultrasound-guided nerve blocks (UGNBs) are becoming more common in emergency medicine practice. These techniques allow the modern emergency physician to deliver targeted pain control in conjunction with using lower doses of other analgesics. Newberry MA, et al.

ED 87
article thumbnail

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

To assess the clinical impact and relevance of these concerns, Alwang et al. PMID: 28423290 Kidwell K, Albo C, Pope M, et al. PMID: 24066745 Self WH, Semler MW, Wanderer JP, et al. PMID: 29485926 Semler MW, Self WH, Wanderer JP, et al. PMID: 29485925 Self WH, Evans CS, Jenkins CA, et al. Sickle Cell Disease.

ALS 116