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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. She was taken to the operating room and found to have a right tubal ectopic pregnancy with a pseudogestational sac. 2007), Free Fluid in Morison's Pouch on Bedside Ultrasound Predicts Need for Operative Intervention in Suspected Ectopic Pregnancy.

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Sepsis alerts work! Just not in the patients who fire the alerts

PulmCCM

Their spread has coincided with the Centers for Medicare and Medicaid’s “sepsis bundle quality measure” (SEP-1) going live in 2015. Instead of clinical micromanagement, in its new form it would incentivize continuous improvement in systemwide operational processes. And have they fired.

Sepsis 45
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Episode 25: Tension pneumothorax 2

PHEM Cast

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine , 11 (2), 211–213. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals , 13 (4), 53–58. Needle thoracostomy: implications of computed tomography chest wall thickness. link] Harcke, H.

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SGEM#221: Smells Like Isopropyl Alcohol for Nausea

The Skeptics' Guide to EM

She’s been a contributor for the Academic Life in Emergency Medicine and Emergency Medicine PharmD blogs and is a member of the ALiEMU Capsules team. A new Cochrane Review by Hines et al published in 2018 looked at aromatherapy for post-operative nausea and vomiting. We covered that paper on the SGEM in Episode #144.

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SGEM#351: How to Stop Geriatrics from Free Fallin’

The Skeptics' Guide to EM

Background: We looked at geriatric falls on an SGEM Xtra in 2015. Back then we found that at one academic site older adults attending ED with falls didn’t receive guideline-based assessment, risk stratification or management. In 2014 the SGEM looked at a systematic review by Dr. There are three other GEAR 1.0

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Diagnostics: Inflammatory Markers

Taming the SRU

A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2015 Mar;18(3):352-9. They recommended synovial fluid analysis as essential to the diagnosis [30]. PMID: 25469944.

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Ethical Issues in Interhospital Transfers of Emergency Department Patients

ACEP Now

Unfortunately, many tertiary hospitals routinely operate at censuses of greater than 100 percent capacity, due to factors including insufficient acute care bed capacity, a shortage of nursing care, and misaligned incentive structures for health care more generally. Academic Emergency Medicine 22.2 2015):157-165.