REBEL EM

JUNE 8, 2023

Paper: Singer S, et al. References: Singer S, et al. PMID: 36108346 Cole JB, et al. PMID: 31270748 Maheshwari K, et al. PMID: 29872882 Jones AE, et al. PMID: 17035422 Holler JG, et al. PMID: 25789927 Schwartz MB, et al. The safety and efficacy of push dose vasopressors in critically ill adults.

Epinephrine 98

Epinephrine Emergency Department ALS ICU 98

Don't Forget the Bubbles

JUNE 19, 2024

Well-designed multicentre large studies in children were warranted; cue Leonard et al. Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort.

CPR 122

CPR Operating Room OR Emergency Department 122

ACEP Now

MARCH 14, 2024

18 The finger is inserted through the stoma alongside the endotracheal tube and, while 90 percent success rate has been reported with this method in controlling bleeding, the pressure must be maintained until the patient is transferred to the operating room. Scalise P, Prunk SR, Healy D, et al. Mun JH, Jun PS, Sim Y-J, et al.

E-9-1-1 52

E-9-1-1 ALS Operating Room OR 52

FOAMfrat

DECEMBER 28, 2023

During Orientations, new crew members must do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field. This flight service noted during orientations that new crew members are required to do a minimum of 10 live intubations in the operating room before being cleared to intubate in the field.

Operating Room 52

Operating Room Emergency Medical Services Paramedic OR 52

REBEL EM

MARCH 27, 2023

Paper: Owyang CG, et al. REFERENCES: Acute Respiratory Distress Syndrome Network et al. 2000 May 4; PMID: 10793162 Harvey CE, et al. 2022 Feb 8; PMID: 35156050 Higgins TL et al. PMID: 19325480 Gajic O, et al. PMID: 20802164 Heimberg DH, et al. J Crit Care. N Engl J Med. Crit Care Explor. Crit Care Med.

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

The Skeptics' Guide to EM

MARCH 2, 2024

Reference: Gibbons et al. Reference: Gibbons et al. Type A AoDs generally require an emergent trip to the operating room as soon as they are identified to reduce the likelihood of a terrible outcome. AEM February 2024. AEM February 2024.

Operating Room 328

Operating Room Emergency Department ALS ED 328

The Skeptics' Guide to EM

SEPTEMBER 3, 2017

[display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. display_podcast] Date: September 2nd, 2017 Reference: Caputo et al. There have been some studies in various clinical settings (operating room, critical care and pre-hospital) that have demonstration benefit of apneic oxygenation.

Operating Room 130

Operating Room Emergency Department Critical Care ALS 130

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. doi:10.3390/cancers13092025 Pisano M, Zorcolo L, Merli C, et al. 2021.03.001 Bauman BD, Witt JE, Vakayil V, et al.

E-9-1-1 97

E-9-1-1 ED ALS Operating Room 97

ACEP Now

MARCH 14, 2024

In our case, the patient had a CT of the head, cervical spine, and chest, abdomen, and pelvis with intravenous contrast demonstrated a C2, C7 compression fracture with significant bowel edema (Figure 4), and was taken to the operating room for left arm disarticulation, left below knee amputation and right above knee amputation.

Operating Room 52

Operating Room ACS Critical Care Coronary 52

REBEL EM

AUGUST 12, 2024

PMID: 36038001 Levi TM, et al. PMID: 24553510 Iacone R, et al. The authors of this study sought to test the hypothesis that intravenous amino acid therapy would lead to a lower occurrence of postoperative AKI when compared to placebo. Paper: Landoni G. The PROTECTION trial. The PROTECTION trial. Contemp Clin Trials. Epub 2022 Aug 28.

ICU 71

ICU Operating Room Critical Care ALS 71

AAEM RSA

DECEMBER 3, 2020

A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operating room. Fournier gangrene: an histori9]al reappraisal. Sugihara T, Yasunaga H, Horiguchi H, et al. Bjurlin MA, O'Grady T, Kim DY, et al. Sorensen MD, Krieger JN, Rivara FP, et al.

Emergency Department 52

Emergency Department E-9-1-1 ALS Operating Room 52

ACEP Now

JANUARY 12, 2024

The patient was admitted to the obstetrics service and underwent spinal anesthesia in the operating room to manually reduce the uterus. Gardner C, Jaffe T, Hertzberg B, et al. A pessary was inserted during that procedure. On the next day, the Foley catheter was removed and the patient was able to spontaneously void.

Operating Room 52

Operating Room Emergency Department ED OR 52

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. Al Jazeera. Mofid MM, Teitelbaum S, Suissa D, et al. Accessed March 6, 2024. Accessed February 19, 2024.

Emergency Department 52

Emergency Department Operating Room Critical Care ICU 52

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 62

ED Operating Room ALS Frozen Plasma 62

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. According to Sleeman et al., A systematic review and meta-analysis by Choudhary et al. and Al-Dhahir, M.A., This dropped to 79.3% 479 had confirmed torsion. Mellick, L.B.,

Operating Room 109

Operating Room ALS Emergency Department OR 109

ALiEM

FEBRUARY 12, 2024

The patient was taken to the operating room for dilation and curettage and was discharged the following day. link] Cline, David, et al. link] Acaia, Barbara, et al. Obstetrics and Gynecology was consulted for definitive management. Obstetrics & Gynecology, vol. 2, 2021, pp. McGraw-Hill Education, 2020. and Donald P.

Operating Room 161

Operating Room Emergency Department ALS OR 161

FOAMfrat

MARCH 11, 2024

Looking at several different sources, it seems that the chance a placenta previa will form in the pregnancy following a cesarian delivery increases by ~40-60% (Cresswell et al., The good news is that most placenta previa cases resolve independently (~90% of them) (Getahun et al., There is a study by Silver et al.

Operating Room 64

Operating Room ALS OR Ambulance 64

ACEP Now

APRIL 4, 2024

Other exceptions are patient refusal, patient death or immediate transfer to the operating room. References Sweeting MJ, Thompson SG, Brown LC, et al. Gunnarsson K, Wanhainen A, Björck M, et al. Lloyd GM, Bown MJ, Norwood MG, et al. Metcalfe D, Sugand K, Thrumurthy SG, et al. Ho VT, Tran K, George EL, et al.

Operating Room 40

Operating Room ALS ED Emergency Department 40

REBEL EM

DECEMBER 18, 2024

GorchynskiJ et al. PMID 25278137 Marx JA et al. Mendez DR et al. Louis, Mosby, Inc., 2010, (Ch) 70: p 895-909. The “syringe” technique: a hands-free approach for the reduction of acute nontraumatictemporomandibulardislocations in the emergency department. J Emerg Med. 2014; 47(6):676-81.

Operating Room 52

Operating Room ALS ED Emergency Department 52

Core EM

JANUARY 16, 2025

Only about 50% sensitive for detecting an esophageal intubation (Grmec 2004) and about 65% sensitive for detecting a main-stem intubation in the operating room where everything is much quieter than in the ED (Sitzwohl 2010). et al (2022). Baker JB, et al. Blunt, MC, et al. Boyce, James Ronald, et al.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130