Remove 2014 Remove Operations Remove Shock
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EM@3AM: Stercoral Colitis

EMDocs

2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. link] com staff (2014).

EMS 88
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emDOCs Revamp: Esophageal Perforation

EMDocs

6 Treatment : Airway Definitive airway management should be performed in those with respiratory distress with attention to appropriate resuscitation started beforehand in the setting of potential distributive shock from mediastinitis. McGraw-Hill Education; 2014. upper endoscopy, transesophageal echo, etc.). Esophageal Perforation.

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

Point-of-care ultrasound (PoCUS) is inherently operator-dependent, which may have led to inconsistencies in the quality and findings of the ultrasound exams across different operators. 2014 Aug;2(8):638-46. Epub 2014 Jul 3. POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence.

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REBEL Core Cast 94.0 – SBO

RebelEM

Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. rebound and guarding) Diagnostics Laboratory Tests Commonly ordered lab tests (i.e. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5

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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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Coffee and Cases Snippets: Don’t Leave Me In Suspense

Greater Sydney Area HEMS

In contrast, shock (leading to syncope and rarely cardiac arrest) from ST can occur well before mechanisms of crush injury come into play, with low-flow states described as early as within 6 minutes (2). . Although remember, as is observed intra-operatively from tourniquet application, muscle can tolerate hours of hypoxia. Merchant D.

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Multisystem Trauma in Children, Part One: Airway, Chest Tubes, and Resuscitative Thoracotomy

Pediatric Emergency Playbook

REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. 2014 Apr;133(4):e1104-16. Pediatrics.