The Trauma Pro

OCTOBER 3, 2023

Many vertebral fractures can be treated non-operatively. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study. Int J Burns Trauma 12(4):168-174, 2022. World Neurosurg 93:221-228, 2016. J Clin Neurosci 45:33-39, 2017.

Fractures 263

Fractures Operations Dislocations Burns 263

Pediatric EM Morsels

JUNE 30, 2023

I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. PMID: 28050458 Salerno M, Sessa F, Cocimano G, Roccuzzo S, Esposito M, Pomara C. Congenital Cystic Adenomatoid Malformation (CCAM) Type II: A Rare Case of Sudden Infant Death.

Ultrasounds 209

Ultrasounds Pediatrics Operations EMS 209

Emergency Medicine Journal

FEBRUARY 20, 2024

Methods This was a multicentre observational cohort study of adults attending 27 UK EDs between 26 September 2022 and 30 November 2022, with potential AAS symptoms: chest, back or abdominal pain, syncope or symptoms related to malperfusion. Reference standard was radiological or operative confirmation of AAS.

Emergency Department 52

Emergency Department Operations Radiology Radiology 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. Published May 11, 2022. 1 The Rise of the Miami BBL An entire industry has emerged around gluteal AFTs in Miami.

Emergency Department 52

Emergency Department Operations Ultrasounds Hospitals 52

Pediatric EM Morsels

NOVEMBER 17, 2023

2022 May 11;10:864766. 2022 Apr;29(4):406-414. Epub 2022 Jan 12. 0.41), p < 0.001. Bibl K, Pracher L, Küng E, Wagner M, Roesner I, Berger A, Hermon M, Werther T. Incidence of Post-extubation Stridor in Infants With Cuffed vs. Uncuffed Endotracheal Tube: A Retrospective Cohort Analysis. Front Pediatr. doi: 10.3389/fped.2022.864766.

Pediatrics 183

Pediatrics Emergency Department Outcomes Sepsis 183

RebelEM

JULY 31, 2023

battery, light source, camera, screen) Other Operator-reported aspiration Esophageal intubation Injury to the teeth ICU-free days in the first 28 days Ventilator free days in the first 28 days All-cause in-hospital mortality Results: Between March 19, 2022, and November 17, 2022, 1,947 patients were assessed for eligibility.

Operations 87

Operations Outcomes Emergency Department Airway Management 87

Emergency Medicine Journal

FEBRUARY 20, 2024

The Chief Coroner’s annual report details the operation of the coroner’s service and does not collate PFD findings. 1 By contrast, Australia’s coronial system collates all inquest findings, informing injury prevention and health-professional education.

Emergency Department 40

Emergency Department Operations 40

Mount Sinai EM

DECEMBER 27, 2022

Lisfranc injury x-rays Management Depends on the severity of injury, so consult with your orthopedic surgeon to determine operative vs nonoperative management. Case study, Radiopaedia.org (Accessed on 26 Dec 2022) [link] Gaillard F, Lustosa L, Murphy A, et al. Lisfranc injury. Publisher: Elsevier. 273 – 310.

Dislocations 130

Dislocations Fractures Operations Radiology 130

PulmCCM

NOVEMBER 17, 2023

Kenny MD [ @heart_lung ] In part 1 , right atrial pressure [P ra ] and cardiac output/venous return [CO/VR] were considered as two hemodynamic measures bound at the operating point [OP] of the circulatory system. OP is operating point. Shows what happens when Ppc, Pmsf, Rcardiac and Rvr all vary [grey operating points].

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

Taming the SRU

SEPTEMBER 22, 2023

million adults undergo tracheal intubation outside of the operating room each year in the United States. The operator reported a subjective assessment of the anticipated difficulty. of operators being either emergency medicine residents or critical care fellows. Background More than 1.5

Operations 94

Operations Outcomes Emergency Department Academics 94

EMDocs

MAY 25, 2024

Treasure Island (FL): StatPearls Publishing; September 26, 2022. Updated 2022 Aug 8]. In: StatPearls. Insalaco LF. Ferri’s clinical advisor 2023. Sialadenitis. 01/01/2023:1391-1392.e1. doi: 10.1016/B978-0-323-75573-3.00837-4. Adhikari R, Soni A. Submandibular Sialadenitis and Sialadenosis. In: StatPearls [Internet].

EMS 79

EMS Dehydration Operations Hospitals 79

Taming the SRU

MARCH 12, 2024

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The study’s primary outcomes were the operational impacts of the SQuID protocol on EDLOS and ICU admission rates. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics.

Operations 86

Operations Hospitals Wellness Best Practices 86

Greater Sydney Area HEMS

NOVEMBER 4, 2023

In 2022, we achieved: 95% overall first pass success rate (first pass of laryngoscope into mouth results in successful intubation, from both prehospital and inter hospital cases, including cold tube and RSI. A change of operator or removal of the blade from the mouth ends the attempt). first pass success rate from RSI.

Burns 144

Burns Airway Management Operations Resuscitation 144

Pediatric EM Morsels

JUNE 16, 2023

2022) Morel-lavallee lesions – diagnosis and practical management of these troublesome injuries! Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Arch Gen Med. and Taylor, B.

Soft Tissue Injuries 152

Soft Tissue Injuries Dehydration Fractures Operations 152

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. Urgent senior review, decision making and operation 31.3% This dropped to 79.3% by 18 hours, and if the diagnosis was delayed by more than 24 hours, the salvage rate was just 18.1%.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

ACEP Now

DECEMBER 11, 2023

The preliminary 2022 report contained performance measures for 938 EDs that managed more than 46 million patient visits, plus 222 additional freestanding EDs that served more than 4 million patients. Thus, the survey included data for about one-third of all patients seen in US ED’s in 2022. percent in 2022. percent in 2021, 2.8

Emergency Department 52

Emergency Department Hospitals EMS Operations 52

American Medical Compliance

NOVEMBER 30, 2022

In operating rooms, HAIs can cause surgical site infections, which threaten the health and safety of patients. According to the Emergency Care Research Institute, staffing shortages posed the greatest threat to patient safety in 2022. Many care providers are forced to operate without the necessary materials to do their jobs.

Patient Safety 52

Patient Safety CDC Operations Outcomes 52

EMDocs

FEBRUARY 7, 2024

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. there were 31 recorded healthcare strikes in 2021, 39 recorded healthcare strikes in 2022, and 37 healthcare strikes in 2023 as of November 3rd. months since 2022.

Hospitals 76

Hospitals Research Wellness Patient Safety 76

The Skeptics' Guide to EM

JULY 30, 2022

Date: July 28th, 2022 Reference: Brower et al. AEM July 2022 Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine at Lancashire Teaching Hospitals. Date: July 28th, 2022 Reference: Brower et al. Reference: Brower et al. Also joining us is Dr. Andrew Goldsmith.

Ultrasounds 52

Ultrasounds Operations Outcomes Documentation/Coding 52

The Skeptics' Guide to EM

DECEMBER 3, 2022

Date: November 16th, 2022 Reference: Lipsett SC, Monuteaux MC, Shanahan KH, et al. Pediatrics 2022 Guest Skeptic: Dr. Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX.

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

RebelEM

FEBRUARY 1, 2024

What they Did : Investigator-initiated, Multicenter, Parallel-ground, Open-label, Registry-linked, Randomized, Controlled, Non-Inferiority trial 22 Canadian Primary and Comprehensive Stroke Centers from December 2019 to January 2022 Eligible ischemic stroke patients randomized 1:1 to receive intravenous tenecteplase (0.25 vs Alteplase 34.8%

Stroke 122

Stroke Blood Transfusions Outcomes EMS 122

JournalFeed

AUGUST 20, 2022

The JournalFeed podcast for the week of August 15-19, 2022. Non-Op Stabbings Spoon Feed: In abdominal stab wound patients without criteria for immediate operative intervention, 24 hours of observation was sufficient to identify a failure of conservative management. These are summaries from just 2 of the 5 article we cover every week!

Operations 40

Operations 40

ACEP Now

JUNE 21, 2023

2,3 In the 2021-2022 academic year, categorical (non-combined) EM residency lengths included 221 (80 percent) PGY 1-3 and 55 (20 percent) PGY 1-4 programs. Therefore, applicant, funding, and operational factors may influence programs to offer a particular curriculum length. Accessed 2022-03-26. Ann Emerg Med. J Emerg Med.

EMS 114

EMS Academics Telemedicine Research 114

PulmCCM

APRIL 18, 2024

The real world success rates by operators experienced with intubation remained unknown. In the relatively few studies comparing video to direct laryngoscopy, intubations were usually performed by inexperienced trainees, and sample sizes were small.

Operations 98

Operations Airway Management EMS Research 98

Taming the SRU

MAY 22, 2023

weight-bearing status, operative vs. non-operative) If necessary/helpful to ensure adequate follow-up At time of discharge: Counsel on expected course of injury, supportive care (e.g., Updated 2022 Nov 23]. A comparison between pre-operative ultrasonography and surgical findings. Updated 2022 Apr 7]. Acta Radiol.

Fractures 69

Fractures Dislocations Operations Radiology 69

SheMD

MAY 4, 2023

Women were more likely to be first appointed to educational rather than operational roles (52.6% The most common pathway to a departmental chair role was through an operations track, and male physicians were more likely to have an initial role in operations, while females were more likely to have an initial role in education.

Leadership 52

Leadership Academics Operations Administration 52

Intensive Blog

AUGUST 17, 2023

Approximately half of these cases meet the criteria for major bleeding as established by the International Society on Thrombosis and Haemostasis (Kalbhenn and Zieger, 2022). Retrospective data showed comparable major bleeding rates between V-A and V-V ECMO patients (Nguyen et al, 2022). Major bleeding (Arachchilage et al, 2021) 1.

Blood Transfusions 52

Blood Transfusions Operations Wellness 52

PulmCCM

NOVEMBER 6, 2023

open label) at 17 sites in Belgium in 2020-2022, 35% of those receiving plasma died at 28 days, vs. 45% of the usual care patients — a number needed to treat of 10 to save one life. Among 475 patients with ARDS due to Covid-19, randomized within 5 days of ventilation to receive convalescent plasma or usual care (i.e.,

Operations 98

Operations Blood Transfusions Resuscitation Infectious Diseases 98

Taming the SRU

SEPTEMBER 25, 2023

Specifically, EM physicians should be able to recognize fractures that will likely require operative management and facilitate close follow up, such as a Maisonneuve fracture. Disruption of these structures yields an unstable ankle fracture, thus making close follow up for operative management imperative. 2022 May 16;10(14):4684-4690.

Fractures 91

Fractures Operations Emergency Department EMS 91

Broome Docs

APRIL 30, 2024

2022 Aug 1;93(2):157-165. Video Laryngoscopy vs Direct Laryngoscopy for Endotracheal Intubation in the Operating Room: A Cluster Randomized Clinical Trial. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. Am J Emerg Med.

Poisoning 70

Poisoning Dislocations Operations Ultrasounds 70

EMDocs

DECEMBER 11, 2023

In October 2022, the American College of Cardiology released an updated expert consensus decision regarding the evaluation of chest pain in the emergency department. In all, this 2022 update from the ACC provides diagnosis and management pathways intended to guide the approach to chest pain in the emergency department. PMID: 36241466.

EKG/ECG 109

EKG/ECG Emergency Department Academics Operations 109

PulmCCM

MARCH 11, 2024

Societies push back on CMS’s cuts to critical care billing In 2022, the U.S. Read their letter to CMS here , asking that critical care billing return to pre-2022 historical norms. In 2022, CMS also officially permitted concurrent or additive critical care time billing by multiple clinicians on the same patient throughout the day.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

RebelEM

APRIL 29, 2024

One may speculate that the US-guided CVC placement would have a higher first-pass success rate with fewer complications, however, this may potentially add time to the procedure depending on the operator and institution’s use of ultrasound during emergencies and maintaining sterile technique with the US probe. 2022 PMID: 35206981 2.

Resuscitation 104

Resuscitation Administration Emergency Department Hospitals 104

ACEP Now

MAY 4, 2023

On hospital day 2, he was taken to the operating room for surgical rib fixation. The direct movement of air into the chest wall was improved with the placement of a pigtail catheter and ultimately treated with operative repair. 2022; 22(11):432-439. 2022; 276:221-234. A chest tube was placed at that time. BJA Education.

EMS 52

EMS Fractures Operations Ultrasounds 52

Emergency Medicine Journal

NOVEMBER 28, 2023

This study was conducted by the Irish Trainee Research Network (ITERN) from May 2022 until February 2023. No association was found between drain type, indication or operator and first past success. Method and Design This prospective, multicentre observational study examine the current practice of chest drain insertion in the Irish EDs.

Emergency Department 40

Emergency Department EMS Research Operations 40

ACEP Now

JULY 7, 2023

One operator should perform defibrillation in the anterolateral position, followed by another operator providing a second shock in the anteroposterior position after a delay of less than one second. Heart disease and stroke statistics-2022 update: A report from the American Heart Association. Published December 19, 2022.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

PHEM Cast

SEPTEMBER 14, 2022

secondary to fire or other hazard) These principles have been adopted by national level stakeholders in the UK are being incorporated into national clinical and operational guidance which will reduce entrapment time and may demonstrate morbidity and mortality reductions. Scand J Trauma Resusc Emerg Medicine 30 , 14 (2022). Nutbeam, T.

Fractures 52

Fractures Operations Outcomes Academics 52