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Proning for ARDS

Northwestern EM Blog

Absolute contraindications of prone positioning are severely increased intracranial pressure as positioning of the head in prone position can partially obstruct cerebral venous drainage, as well as unstable spinal fractures because the manipulation while repositioning a patient may lead to further injury (Guerin et. 2020; Koulouras et.

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Fast Facts: Traumatic Bladder Rupture

PEMBlog

While approximately 80% of patients with bladder rupture have pelvic fractures, bladder ruptures are found in less than 10% of patients with pelvic fractures. Pediatric genitourinary injuries in the United States from 2002 to 2010. PubMed PMID: 24857651; PubMed Central PMCID: PMC4104146. 2013 Jan;189(1):288-93. 2012.09.003.

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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. 2002 Mar;68(3):240-3; discussion 243-4. 2002 Nov;28(7):665-9. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient. 2004;329(7457):101-103.

Burns 97
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Trauma Resuscitation Updates

RebelEM

Pelvic Fracture A score ≥2 present, consider MTP Clinical Take Home Point: Use of balanced transfusion (including PRBCs and clotting factors) helps avoid dilutional coagulopathy WHOLE BLOOD VS COMPONENT THERAPY Kronstedt S et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.

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EM@3AM: Traumatic Iritis

EMDocs

Orbital wall fractures: palpate bony structures surrounding the eye, check extra ocular muscle movements to rule out entrapment, obtain CT imaging if suspected [7]. Bethesda (MD): National Cancer Institute (US); 2002-. Complications : injuries to assess for when evaluating a patient with suspected traumatic iritis. 2021 Oct 7.

EMS 98
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Complex Regional Pain Syndrome

Don't Forget the Bubbles

We know that fractures are the precipitating event in about 5–14% of cases and surgical procedures in 10–15%. 2002 Jul;141(1):135-40. Several neurological mechanisms for CRPS have been suggested, including central sensitisation, alteration in the central nervous system (CNS), and small fibre changes. NeuroRehabilitation. 2002.124380.

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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Cosmetic Surgery National Data Bank: 2002 Statistics.