Greater Sydney Area HEMS

APRIL 26, 2023

Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia. Lee C, Porter KM (2007) Suspension trauma. This occurs via inadequate muscle perfusion. Thus, ST-induced rhabdo is secondary to stasis rather than direct physical trauma (as seen in crush injury). 2011, 22:77-86.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Shock Research Operations 52

Northwestern EM Blog

SEPTEMBER 12, 2022

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

Mass Casualty Incidents 52

Mass Casualty Incidents EMS Hospitals Hazardous Materials 52

Taming the SRU

MARCH 14, 2023

Ultimately, definitive management is in the operating room with revision or replacement of the VP shunt. Unfortunately, maneuvers to relieve a proximal occlusion in the emergency department are limited. Lumbar puncture is an option with limited data for success. Marmarou, Young, Aygok. Neurosurg Focus. Marmarou et al. J Neurosurg.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Safar's work, in a series of studies and papers, validated manual methods of opening the airway, in use by anesthesiologists but relatively unknown outside the operating room, as effective and able to be taught and used by lay people. " established that exhaled air was a satisfactory gas for resuscitation. J., & Worrell, L.

Resuscitation 40

Resuscitation CPR Emergency Nursing Basic Life Support 40

ACEP Now

SEPTEMBER 13, 2023

This funding expanded the committee’s work to include three reports: Hospital Based Emergency Care – at the Breaking Point ; Emergency Medical Services – at the Crossroads ; and Emergency Care for Children – Growing Pains ,” all released in 2007. Prescott, MD, another member of the committee. “We

EMS 45

EMS Research Academics Military 45

Don't Forget the Bubbles

JULY 26, 2023

Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. Do all infants with ALTEs need to be admitted?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Dr. Smith's ECG Blog

NOVEMBER 8, 2022

Electrocardiology 40: 475-477, 2007 ) — which is the BEST review I’ve seen on the physiology explaining the relative size of artifact deflections when the cause of the artifact is from a single extremity. Figure-2: Use of Einthoven's Triangle to determine the electrical voltages in the 3 standard limb leads.

EKG/ECG 52

EKG/ECG Operations 52

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. 2007; 2:2-11. 2007; 5(3):172-176. Summary Acute MI is a challenging presentation in children: Easily missed: uncommon and atypical Varied etiology Respect vague symptoms with a non-reassuring H&P Try to detect it: CATH IT! References Congenital AboulHosn JA et al. Aliku TO et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JUNE 6, 2019

Nachi: A 2007 study suggests that using the Alvarado score along with bedside ultrasound might allow for rapid and inexpensive diagnosis of appendicitis. For patients with suspected ruptured AAA, torsion, or mesenteric ischemia - the disposition is easy - they need immediate surgical consultation and likely operative intervention.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

FEBRUARY 22, 2025

2007 Jul;107(1):173-7. Loss of CSF into the circulatory system is unregulated and cannot be reabsorbed, leading to intracranial hypotension. Endoscopic closure of CSF rhinorrhea: 193 cases over 21 years.Otolaryngol Head Neck Surg.2009 2009 Jun;140(6):826-33 Liao YJ, Dillon WP, Chin CT, McDermott MW, Horton JC. Case report. J Neurosurg.

EMS 66

EMS Fractures Operations Wellness 66

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% This dropped to 79.3% by 18 hours, and if the diagnosis was delayed by more than 24 hours, the salvage rate was just 18.1%.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

EMDocs

OCTOBER 23, 2023

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). difficile infection, and post-operative hemorrhage. Abscess and Infected Hematoma : This condition is typically delayed, occurring most commonly 10-14 days post-operatively.

OB/GYN 93

OB/GYN Operations EMS Ultrasounds 93

EMDocs

JULY 17, 2023

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. Pearls -LBO is often associated with a serious underlying condition such as CRC and is not usually successfully managed with non-operative measures. -A 2007 Jan 21;13(3):432-7. World J Gastroenterol.

Operations 98

Operations EMS Fluid Resuscitation Resuscitation 98

Pediatric Emergency Playbook

JANUARY 1, 2017

Neonatal observational scales have been validated in the intensive care and post-operative settings; ED-specific quantitative scales are lacking. CRIES ( Table 1 ) was validated for post-operative patients; to adapt its use for the ED, the most conservative approach is to substitute “preoperative baseline” with normal range for age.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

EMDocs

JUNE 21, 2023

Common operator errors Failing to enter joint capsule before injecting STS. 2007 Aug;21(7):442-3. When in the joint, you’ll obtain synovial fluid. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out. You can range the joint which may help you see fluid extruding. J Shoulder Elbow Surg.

Soft Tissue Injuries 95

Soft Tissue Injuries Fractures Dislocations Radiology 95

Dr. Smith's ECG Blog

APRIL 8, 2015

2007 Oct; 33(3): 233–239. Risk-score performance was measured by comparing the proportions of patients with arrhythmias at various levels of the score and receiver operating characteristic (ROC) curves. 2) Boston syncope rule: J Emerg Med. Logistic regression was used to identify predictors for the risk-score system. 95% CI = 1.9

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PulmCCM

MARCH 7, 2025

Any self-respecting surgeon or anesthesiologist will tell you that patients undergoing surgery before the weekend receive just as high a quality of care as those operated on earlier in the week. overall—but they also found that patients with operations on Sundays had increased risk. Is it true?

Outcomes 116

Outcomes Hospitals Operations Radiology 116

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. If in doubt, ask. CAKUT, catheterization requirement).

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

SheMD

APRIL 23, 2023

While most of the attributed blame for these findings has focused on older age and demanding working conditions of pregnant surgeons [or one might extrapolate this to physicians in general]; the authors note that “there are reproductive hazards present in the operating room that might also be contributing.” Aghajanova et al.

Ultrasounds 52

Ultrasounds Wellness Operations 52