EMDocs

NOVEMBER 16, 2024

4 Pain is the most common reason for presentation in the early post operative period. 5 Highest risk of dislocation early in the post operative course due to laxity of the soft tissue after surgery. 6 Hip flexion or adduction in the early post-operative period can cause atraumatic dislocations (typically avoided for 6 weeks post-op).

EMS 98

EMS Dislocations Fractures Operations 98

EMDocs

DECEMBER 6, 2024

7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. 5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. 2005 Jun;159(6):557-60. Tenenbein M.

Poisoning 98

Poisoning Fluid Resuscitation Seizures Resuscitation 98

The Skeptics' Guide to EM

DECEMBER 14, 2024

The 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria were established based on expert consensus and used for diagnosis. For the Phoenix Scoring System, they used the area under the receiver operating characteristic curve (AUROC) and for binary criteria, positive predictive value (PPV) and sensitivity.

Sepsis 103

Sepsis Pediatrics Shock Hospitals 103

Taming the SRU

MARCH 14, 2023

Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. Estimated incidence of normal pressure hydrocephalus and shunt outcome in patients residing in assisted-living and extended-care facilities. Lumbar puncture is an option with limited data for success. Neurosurg Focus. J Neurosurg.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

PHEM Cast

SEPTEMBER 6, 2017

trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J. 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6

CPR 52

CPR Resuscitation Operations Shock 52

EMDocs

NOVEMBER 4, 2024

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Cause and outcome of atypical chest pain in patients admitted to hospital. 2005 Jul-Aug 2005;12(4):311-9. Am J Emerg Med. May 2014;32(5):421-31. doi:10.1016/j.ajem.2014.01.015

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

APRIL 8, 2015

Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS. Abnormal ECG – looks for cardiac syncope. Hemoglobin less than 10 (SF rule) 6. Syncope with Exertion (EGSYS) 7. S yncope while supine (EGSYS) 8.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EB Medicine

JANUARY 2, 2019

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Jeff: Up first is the urine pregnancy test.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Mind The Bleep

JANUARY 24, 2025

7) Allergies Social History Hand dominance Profession and hobbies Could influence the operation performed in cases where the restoration of hand function is vitally important e.g. in musicians; or where speed of recovery and need to return to work take precedence. The incidence and management of peripheral nerve injury in England (2005-2020).

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52