Sat.Jun 03, 2023

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2023 update to Surviving Sedation guidelines : the risk of thrombosis

PHARM

Photo by Karolina Grabowska on Pexels.com This recent Northern Territory coroners inquest report into the death of a young woman from a pulmonary embolism during hospital care for acute mental health condition highlights the risks of sedation and restraint. She had risk factors for thrombosis and was subjected to multiple episodes of chemical and mechanical restraint leading up to a final admission to Alice Springs Hospital ICU where she was intubated and anaesthetised for aeromedical transfer t

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EM@3AM: Cerebellar Stroke

EMDocs

Author: Ramya Kondaveeti, MD (EM Resident Physician, ACMC/Oak Lawn, IL); Thaer Ahmad, MD (EM Attending Physician, Oak Lawn, IL) // Reviewed by: Sophia Görgens, MD (EM Resident Physician, Zucker-Northwell NS/LIJ, NY); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Brit Long, MD (@long_brit) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics.

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Go or no go: ED Resuscitative Thoracotomy for Trauma

University of Maryland Department of Emergency Med

Bottom Line: Lack of pericardial fluid or cardiac motion on FAST exam leads to no intact survivors for ED RT for trauma. Zone 1 REBOA.

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CAEP Capsule 23: Day 3 (May 30th-The Finale)

Canadian EM

Hi Folks! The third day of the CAEP 2023 Conference was marked by an atmosphere of enthusiastic engagement, as attendees continued their quest for knowledge, networking, and collaboration. It was filled with some extremely insightful sessions, including a panel featuring powerful leaders in Medicine hosted by Dr. Kevin Wasko. The panel discussion fostered thought-provoking conversations and highlighted the importance of leadership in shaping the future of medicine in general.

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Why is this not second degree AVB Type II and no high grade AVB

ECG Guru

(Image 1) Why is there no second-degree AVB Mobitz type II and no high-grade AV block? To the first question: Basically, second-degree AV block Mobitz type II is rare. The two ECG patterns that can easily be confused with Type II Mobitz block are: blocked/non-conducted PACs and second-degree AVB Mobitz type I (Wenckebach). ( Image 2) You have to compare the PR duration before the pause and after it.

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Scalpel cricothyrotomy versus punctured cricothyrotomy in the context of the CICO crisis. A systematic review and Meta-analysis – ScienceDirect

PHARM

Scalpel cricothyrotomy versus punctured cricothyrotomy in the context of the CICO crisis. A systematic review and Meta-analysis – ScienceDirect — Read on www.sciencedirect.

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Friends Save Lives | Testicular Traction

JournalFeed

The JournalFeed podcast for the week of May 29 – June 2, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Friends Save Lives Spoon Feed There was an increased number of patient deaths on ICU shifts with low nurse-to-nurse familiarity. Testicular Traction Spoon Feed Pulling traction on a torsed testicle is proposed by these authors to help relieve pressure, identify direction of torsio

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

Authors: Luke Wohlford, MD (EM Resident Physician, University of Vermont Medical Center) and Joseph Kennedy, MD (EM Attending Physician, University of Vermont Medical Center) // Reviewed by: Summer Chavez, DO, MPH, MPM (EM Attending Physician, University of Houston); Marina Boushra (EM-CCM Attending Physician, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 35-year-old female with no significant past medical history is brought to the emergency department (ED) by emergency medical

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Preoxygenation with standard facemask combining apnoeic oxygenation using high flow nasal cannula versuss standard facemask alone in patients with and without obesity: the OPTIMASK international study – PMC

PHARM

Preoxygenation with standard facemask combining apnoeic oxygenation using high flow nasal cannula versuss standard facemask alone in patients with and without obesity: the OPTIMASK international study – PMC — Read on www.ncbi.nlm.nih.

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SGEM#405: We’re Off To Never-Never Land – But Should We Use Etomidate for the Rapid Sequence Intubation?

The Skeptics' Guide to EM

Date: June3, 2023 Reference: Kotani et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials. Journal of Critical Care April 2023 Guest Skeptic: Dr. Amber Gombash is an emergency physician in Concord, NC. Case: You have a critically ill patient that you are preparing to intubate and wonder […] The post SGEM#405: We’re Off To Never-Never Land – But Should We Use Etomidate for the Rapid Sequence Intubation?

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Regional GPs: What it’s like working in middle of nowhere.

PHARM

Regional GPs and GPs in remote areas are hard to come by, Australia having a GP shortage. Here’s what one doctor has to say about working in the Pilbara. — Read on www.mamamia.com.

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Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis – PMC

PHARM

Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis – PMC — Read on www.ncbi.nlm.nih.

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Preventing unrecognized esophageal intubation in the emergency department – PMC

PHARM

Preventing unrecognized esophageal intubation in the emergency department – PMC — Read on www.ncbi.nlm.nih.