The Trauma Pro

OCTOBER 3, 2023

Back braces have always confused me. There are so many types: TLSO, LSO, backpack, extension, and even the lowly abdominal binder can function as a brace. And I have never been able to predict which brace my spine colleagues accurately would prescribe for a specific condition or injury. Many vertebral fractures can be treated non-operatively. And it seems intuitive that there would be some benefit from splinting the spine to limit the range of motion to enhance healing.

Fractures 263

Fractures Operations Dislocations Burns 263

Sensible Medicine

OCTOBER 3, 2023

In the United States, Covid vaccine policy continues to be out of step with the world and out of touch with the people. If the CDC wishes to regain trust, they should make honesty, not simplicity their guiding principle. Subscribe now Once again, a new Covid vaccine has debuted, and once again, the Center for Disease Control (CDC) has issued a recommendation that baffles me.

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CDC Wellness 127

ACEP Now

OCTOBER 3, 2023

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. 1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process. This document is an update of guidelines first published in 2000, and then updated in 2007.

Documentation/Coding 98

Documentation/Coding Fluid Resuscitation Resuscitation Pediatrics 98

EMDocs

OCTOBER 3, 2023

Today on the emDOCs cast, we have a guest piece by Rob Orman, MD. Emergency Physician and founder of Orman Physician Coaching Host of the Stimulus Podcast Learn more at roborman.com If you want to hear the coaching session where Brit and Rob deconstructed his shift and came up with this strategy, it’s here. Episode 87: Conquering Mid-Shift Overwhelm Mid-shift in an emergency department is a special beast.

Documentation/Coding 95

Documentation/Coding EMS Operations Emergency Department 95

Emergency Live

OCTOBER 3, 2023

Conscious Driving, Love for the Environment and Helping People: The Mission of the UISP Motorsports Instructors at REAS 2023 The world of off-roading is often associated with rough tracks, high-adrenaline adventures and, above all, a deep affinity and respect for nature and the surrounding environment. UISP Motorsports Instructors, a central figure in this universe of […] The post UISP: Responsible and Sustainable Driving for the Off-Roaders of the Future appeared first on Emergency Live.

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NRC Health

OCTOBER 3, 2023

Check out the Q3 snapshots highlighting how we put Human Understanding® into practice. The post Human Understanding inspires PX Champs, best practices, and a culture of compliments appeared first on NRC Health.

Best Practices 59

Best Practices Pediatrics 59

Emergency Live

OCTOBER 3, 2023

An educational and entertaining experience that strengthened the bond between man and animal When I first heard about SICS (Scuola Italiana Cani Salvataggio) I could never have imagined how much this experience would give me. I cannot thank SICS enough for all the moments of sharing, the emotions, the smiles, the happiness and the pride […] The post SICS: Life-changing training appeared first on Emergency Live.

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90

Emergency Live

OCTOBER 3, 2023

Rescue Drones Network OdV presents its new technologies at REAS 2023 Also in this 2023 Rescue Drones Network OdV will be present at the REAS International Exhibition, one of the most important events in the emergency sector. A delegation of 12 associates will be actively present in its own exhibition space with a novelty compared […] The post Rescue Drones Network: drones and technology for civil protection appeared first on Emergency Live.

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PulmCCM

OCTOBER 3, 2023

4-factor prothrombin complex concentrate (PCC) for trauma (PROCOAG trial). 4-factor PCC rapidly replaces blood clotting proteins which are absent from transfused blood. PCC could therefore be helpful when co-administered with packed red blood cells in large volume transfusions. Among 324 patients with trauma and life-threatening bleeding at 12 French hospitals who were randomized to receive 1ml/kg PCC or placebo, there was no reduction observed in 24-hour blood transfusion needs in the PCC group

Blood Transfusions 52

Blood Transfusions Hospitals 52

Emergency Live

OCTOBER 3, 2023

Over four decades of commitment to the Fiumicino community In the heart of the picturesque city of Fiumicino, a bastion of dedication, courage and service has stood firmly since 1983, embodying a beacon of hope and safety for the community. The ODV Associazione Nuovo Domani (AND), with its constant commitment and indomitable spirit, has woven […] The post New Tomorrow Association: 40 Years of Dedication and Preservation appeared first on Emergency Live.

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PulmCCM

OCTOBER 3, 2023

Functional outcomes after survival from critical illness , and the constellation of disabilities and dysfunction now termed post-ICU syndrome, are getting more attention. The Covid-19 pandemic produced an enormous new cohort of the persistently or permanently disabled as a result of critical illness. This increasing population represent both critical care’s increased success at preventing death, and the unexpected, sometimes devastating consequences.

Outcomes 52

Outcomes Best Practices Wellness 52

ACEP Now

OCTOBER 3, 2023

The last few years have been a tumultuous time for the emergency medicine (EM) specialty, especially as it pertains to our workforce. Per Medscape, emergency physicians have the highest burnout rate—65 percent—among all surveyed specialties. 1 Attrition rates within the profession are high and rising, especially for female physicians and those working in rural settings. 2–5 If many emergency physicians are unsatisfied with their jobs, what prevents more emergency physicians from finding a better

Emergency Department 52

Emergency Department EMS Wellness 52

University of Maryland Department of Emergency Med

OCTOBER 3, 2023

Bottom line: As part of a systematic protocol, peripheral pressors administered through a peripheral line greater 22Ga or larger reduced t.

Administration 59

Administration 59

EMergucate

OCTOBER 3, 2023

75 year old lady presented to the emergency department after a fall. In ED she was found to be slightly febrile with blood pressure of 95/55.

Emergency Department 52

Emergency Department 52

ACEP Now

OCTOBER 3, 2023

Urge Your Legislators to Support New Bill to Combat Boarding, Support Mental Health Access from the ED The bipartisan Improving Mental Health Access from the Emergency Department Act was recently reintroduced in the House for the 118th Congress by Reps. Raul Ruiz, MD (D-CA) and Brian Fitzpatrick (R-PA). The legislation is the House companion to identical Senate legislation (S. 1346) that was one of ACEP’s emergency department boarding priorities at the 2023 Leadership and Advocacy Conference in

Leadership 40

Leadership Emergency Department Psychiatric Hospitals 40

EMergucate

OCTOBER 3, 2023

The knee x-rays are from an adult patient who has presented with knee injury post MVA. What can be noticed?

EMS 52

EMS 52

Dr. Smith's ECG Blog

OCTOBER 3, 2023

By Magnus Nossen, from Norway I was shown this print out of a rhythm strip from a patient on telemetry. I was asked what's going on? There are four leads shown (II, dV2, V1 and V5). The three images beneath one and other are consecutive rhythm strips each 10 seconds long. The patient was on telemetry due to acute MI. Can you correctly describe what's going on in this interesting rhythm strip?

EKG/ECG 88

EKG/ECG 88

EMergucate

OCTOBER 3, 2023

Question 1: PH = 7.599 That is moderate alkalaemia (very close to the severe range – Moderate alkalaemia is PH between 7.5 – 7.6. Severe alkalaemia is PH > 7.6). PCO2 = 22 mmHg, that is low.

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ACEP Now

OCTOBER 3, 2023

In 2022, Spectrum Health and Beaumont Health integrated to create one system, Corewell Health. We continue to provide the same educational excellence that fosters innovation to always remain at the forefront of medicine. What does your program offer that residents can’t get anywhere else? Our residency program is dedicated to producing safe, competent and qualified individuals in emergency medicine.

Emergency Department 52

Emergency Department Pediatrics Wellness Hospitals 52