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How Fast Do Trauma Patients Die?

The Trauma Pro

” This concept served as the basis of the [poorly documented] “Golden Hour” and for decades has directed our efforts at getting patients to a center with an immediately available OR as quickly as possible. Donald Trunkey published the first paper illustrating the trimodal distribution of death in 1983 in Scientific American.

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Managing the Patient with Alcohol Intoxication

RebelEM

Prerost 2014) In a patient with chronic alcohol use, hallucinations should prompt consideration of acute intoxication, alcoholic hallucinosis, or delirium tremens (DT). Hamilton 2014) Patients with alcohol intoxication have an extremely high risk of intracranial pathology, and the threshold for obtaining head imaging should be very low.

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Early Modern Resuscitators

Advanced Emergency Nursing from AENJ

Review of the Wellcome Library movies on YouTube (1945) [ links below in references ] is instructive as to resuscitative methods of the 1930s and 1940s: Manual methods; gas bag or bellows operated by hand or machine; an anesthesia gas machine; or iron lung. Resuscitation set, Europe, 1801-1850 - Science Museum, London. Fell-O’Dwyer Apparatus.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

It is critically important to document the physical findings in a plain-seeing, plain-speaking, non-judgmental manner that will not color or taint future investigations. Accurate time entries are important to document. Spinal Cord (2014) 52, 504–510; doi:10.1038/sc.2014.56; de Barros Filho, T. Cristante, A. Marcon, R.

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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Erratum in Mouth-to-Airway [adjunct] 4/22/2014. EMS in America: The Foundation Documents. Reviewed and revised 4 December 2014.

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Nephrolithiasis: Ultrasonography versus Computed Tomography

Northwestern EM Blog

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” This is a great summary of the landmark randomized trial published in NEJM in 2014 assessing CT vs two types of US for patients with suspected renal colic in the ED setting.

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Carbon Dioxide As A Resuscitative Gas

Advanced Emergency Nursing from AENJ

This is a cased kit of a Sparklet Resuscitator (J size), with pressure chamber, regulator, tubing, reservoir bag, flow stopcock, and funnel mask, with associated documents. Accessed May 17, 2014. The Therapeutic Use of Carbon Dioxid After Anesthesia and Operation. Accessed May 17, 2014. Accessed May 17, 2014.