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REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols. Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al.

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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

At this point, the patient is taken to the operating room for a diagnostic laparoscopy. Discrimination between an IUP and an interstitial pregnancy is critical as interstitial pregnancies can have devastating outcomes. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac.

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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

7 While post-operative adhesive disease is also a risk factor, it is far less commonly implicated in LBO compared to SBO. Measures to optimize the patient for surgical intervention and treat shock, including antibiotics and fluid resuscitation, are associated with improved outcomes in these patients. 2007 Jan 21;13(3):432-7.

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Hysterectomy Complications

EMDocs

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
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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes. Common operator errors Failing to enter joint capsule before injecting STS. 2007 Aug;21(7):442-3. Inject lidocaine first, then slowly start injecting STS looking at the wound for saline coming out.

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Diagnostics: The Shunt Series

Taming the SRU

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. Lancet Neurol. Neurosurg Focus.