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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

The literature suggests that approximately 85 percent of these cases require procedural source control in the operating room, highlighting the importance of expediting transport arrangements. Secondary post-tonsillectomy hemorrhages often require surgical intervention.

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Propofol-related Infusion Syndrome

Don't Forget the Bubbles

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. Only one of these studies was undertaken in an intensive care setting, and it did not report any cases of PRIS.

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

0.41), p < 0.001.

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Episode 35: When to operate in trauma with Dennis Kim

Critical Care Scenarios

Takeaway lessons * Trauma patients who are hypotensive or otherwise unstable should be assumed to be bleeding, bleeding, bleeding until proven otherwise, and should have a very low threshold to proceed directly to the operating room for exploration.*

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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

Am J Emerg Med. 2016; PMID: 27720568 Guest Post By: Courney Knieriem, MD PGY-1, Emergency Medicine Resident RWJBH Community Medical Center, Toms River, NJ Courtneyknieriem.md@rutgers.edu

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Impact of Emergency Department Crowding on Lung Protective Ventilation

REBEL EM

This is a critical error that leads to poorer outcomes for patients in need of critical care. As volumes increase of patients actively being worked up is paired with those who need eventual admission, there is a higher task burden which creates a significant barrier to adequate critical care delivery.

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SGEM#186: Apneic and the O, O, O2 for Rapid Sequence Intubation

The Skeptics' Guide to EM

As such it has enjoyed widespread adoption throughout the Emergency Medicine and Critical Care world. There have been some studies in various clinical settings (operating room, critical care and pre-hospital) that have demonstration benefit of apneic oxygenation.