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Grand Rounds Recap 4.10.24

Taming the SRU

Fr < 2.5 Offer people tips and guidance on pronunciation. ETT adapter directly into angiocath 3 mL syringe + 7.0 ETT adapter into syringe 10 mL syringe + 7.0 ETT with balloon inflated inserted into the syringe Standard IV tubing + 2.5

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SGEM#355: Bigger Isn’t Better When It Comes to Chest Tubes

The Skeptics' Guide to EM

The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial.

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Pelvic fractures, compression and the need for education

University of Maryland Department of Emergency Med

Pelvic fractures caused by large force compression (open book) and vertical sheer injuries can lead to life threatening massive hemorrhage fr. Click to view the rest

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Navigating Information Blocking: A Comprehensive Practice Guide

Total Medical ComplianceHIPAA

FR to the exceptions: [link]. Additional Resources on Information Blocking: HIMSS offers a comprehensive resource that explains the 21st Century Cures Act, including information on information blocking and interoperability: [link] Direct access to the Information Blocking Rule is available here: [link] ). Information Blocking CFR: [link].

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Is the FDA too lax?

Sensible Medicine

The COAPT trial (industry-sponsored) was highly positive but the MITRA-FR (government funded) trial was totally neutral. This occurs in patients with heart failure. FDA approved this indication despite two trials with opposite results. Proponents say COAPT chose patients who were most likely to benefit.

Stroke 125
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ACMT Toxicology Visual Pearls: A Meal Worth Dying For

ALiEM

Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM. PMID: 36429360 Bane V, Lehane M, Dikshit M, O’Riordan A, Furey A. Tetrodotoxin: Chemistry, toxicity, source, distribution and detection. 2014;6:693–755.PMID: PMID: 24566728. Singapore Med J. 2007;48(9):830-833.

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Pigtail Catheter vs Large Bore Chest Tube for Pneumothorax

RebelEM

The small (14 Fr) percutaneous catheter (P-CAT) versus large (28-32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial. Randomized clinical trial of pigtail catheter versus chest tube in injured patients with uncomplicated traumatic pneumothorax. 2014;101(2):17-22. J Trauma Acute Care Surg.