RebelEM

MAY 25, 2023

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. Lancet 2019. JAMA Surg 2022.

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

RebelEM

APRIL 29, 2024

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). 2015 PMID: 25768683 8 Leidel BA. This can often lead to significant delays in proper resuscitation. Trauma 1996.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

RebelEM

JANUARY 24, 2024

2015; 3(4): PMID: 26665055 Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 116.0 – Achilles Tendon Rupture appeared first on REBEL EM - Emergency Medicine Blog. Is Operative Treatment of Achilles Tendon Ruptures Superior to Nonoperative Treatment? Orthop J Sports Med.

Operations 101

Operations Ultrasounds Fractures Outcomes 101

ALiEM

OCTOBER 30, 2024

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. 2015 Apr 28;313(16):1636-44. They report insufflating ‘a bundle’ of tranq dope per day.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

The Skeptics' Guide to EM

DECEMBER 17, 2022

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. EMS have already splinted an obvious mid-shaft femoral fracture, but he continues to be tachycardic and hypotensive.

Blood Transfusions 52

Blood Transfusions Fractures EMS Emergency Department 52

PHEM Cast

JULY 27, 2021

The Sonosite website has some excellent resources, which you can filter according to specialty, including prehospital using ‘EMS/Air Med/Ambulance’. 2015 Marik PE, Cavallazzi R. The radiopaedia website is an amazing resource for all things imaging. Their section on POCUS is here. Kenji Inaba.

Ultrasounds 52

Ultrasounds Fractures Resuscitation EMS 52

EM Curious

JULY 1, 2015

The idea of the FOAMed review is to give you a digestible selection of reliable content from the online EM/CC world that you can fit into your busy weekly schedule. Over a year's span we will be sure to include topics from all core EM content areas.even the ones that may not be the coolest.

EMS 52

EMS Ultrasounds EKG/ECG Fractures 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Written by Pendell Meyers A teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. Trauma CTs showed a "mildly displaced sternal fracture and a small retrosternal hematoma." 2015, March 1). He was intubated for altered mental status.

EKG/ECG 115

EKG/ECG Wellness Fractures Emergency Department 115

RebelEM

JANUARY 29, 2024

JACCC Cardiovasc Interv 2015. appeared first on REBEL EM - Emergency Medicine Blog. in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 PMID: 26315743 Tapson VF et al.

Stroke 136

Stroke Outcomes Hospitals Administration 136

EM Guide Wire

MAY 19, 2019

2015; 135 (5): e1337-e1354. 2015; 136(5): 831-838. Delayed Identification of Pediatric Abuse-Related Fractures. Teeuw AH, Hoytema van Konijnenburg EM, Sieswerda-Hoogendoorn T, et al. The Evaluation of Suspected Child Abuse. PEDIATRICS. Glick JC, Lorand MA, and Bilka KR. Physical Abuse of Children. Pediatrics in Review.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

The Skeptics' Guide to EM

DECEMBER 8, 2017

He is the founder and creator of REBEL EM and REBEL Cast. Guest Skeptic: Dr. Salim Rezaie is a faculty physician at Greater San Antonio Emergency Physicians (GSEP) in San Antonio, Texas. Case: A 54-year old female patient with acute back pain comes to your emergency department for her forth visit in seven days for recurring pain.

Emergency Department 52

Emergency Department Fractures EMS 52

RebelEM

MARCH 9, 2023

Assess for blood in the nares or signs of basal skull fracture, including battle signs, raccoon eyes, or hemotympanum. Check that clavicles are intact and that there are no obvious rib fractures or spinal step-offs. Epub 2015 Sep 14. Any facial or scalp lacerations, abrasions, ecchymosis, or deformities should prompt imaging.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. 2015 Jan;50(1):177-81. 2015 Oct 19. The second impact happens as the child is flung onto the grill or the hood of the car, causing usually thoracic trauma.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EMDocs

NOVEMBER 16, 2024

We’ll keep it short, while you keep that EM brain sharp. 6 Periprosthetic fracture Occurs at an estimated rate of 3.5-4.1%. 5 CT if concern for occult fracture. Periprosthetic Fractures Pain prior to injury may point toward underlying pathology like infection, implant loosening, etc. Initial vital signs include T 36.8,

EMS 98

EMS Dislocations Fractures Operations 98

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. Obtain shunt imaging (“shunt series,” CTH non-con) Shunt series shows no migration of the shunt catheters or fractures of the tubing. The seizure abated with rectal diazepam given by the squad.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EB Medicine

MARCH 1, 2019

Jeff: And don’t forget to get the crash details from the EMS crew before they depart! As a side note, for anyone taking oral boards in a few months, don’t forget to ask the EMS crew for the details!!! Nachi: The 2015 EAST guidelines conditionally recommend ED thoracotomy for moribund patients with signs of life.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EB Medicine

NOVEMBER 1, 2018

Thankfully, fatalities are declining, with just 565 in 2015. Jeff: With your initial stabilization underway, you can begin to gather a more thorough history either from bystanders or EMS if they are still present. Thankfully, fatalities are declining, with just 565 in 2015. An MRI may be required to elucidate the true diagnosis.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Taming the SRU

FEBRUARY 22, 2023

EMS Grand Rounds with Dr. Connelly - R4 Case Follow up with Dr. Broadstock - R1 Clinical Knowledge: Vitamin Deficiencies WITH Dr. de Castro - Lecture R3 Small Groups Tox,Tasks,Rashes WITH Dr. Fabiano, Dr. Kein, and Dr. Martella4 - Palliative Medicine Consultation WITH Dr. Kiser EMS Grand Rounds WITH Dr. ConnelLy What I learned in my time with Sydney (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

EB Medicine

JUNE 6, 2019

Nachi: And as a brief aside, before we continue… Missed appendicitis is one of the three most common causes of emergency medicine malpractice lawsuits - with MI and fractures being the other two. C suggests taking a ‘worst first’ approach to forming your differential and guiding your workup. Nachi: This is another really important point.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EMDocs

JUNE 3, 2023

How should pelvic fractures be identified in unstable trauma patients? What is the EM physician’s role in the stabilization of unstable pelvic injuries? Pelvic fractures can involve disruptions in any of the bony or ligamentous structures of the pelvic ring. While single-bone fractures can occur, they are far less common.

Fractures 64

Fractures Resuscitation Operations EMS 64

Northwestern EM Blog

JANUARY 3, 2022

climbing stairs) Diagnosis: Anterior patella tenderness; pain with patellar grind test , deep knee flexion EM differential: meniscus injury, stress fracture, ligamentous injury Initial treatment: home exercise program or formal physical therapy to strengthen quadriceps, core, and hip abductors.

Fractures 52

Fractures EMS Urgent Care Stroke 52

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. 2015 Dec;23 Suppl 2(Suppl 2):S76-82. Emergency Medicine Journal 2021;38:21-26.

Seizures 98

Seizures Stroke Outcomes EMS 98

RebelEM

MAY 22, 2023

For instance, while pain resulting from extremity fractures and dislocations can often be relieved after reduction and splinting, abdominal pain poses a more elusive and complex scenario involving multiple contributing factors. Beyond the patient’s age and location of pain, we know very little of the cause or prognosis in this paper.

Emergency Department 94

Emergency Department Administration Dislocations Hospitals 94

EMDocs

MAY 29, 2023

Authors: Rachel Kelly, MD (EM Resident Physician, Stony Brook University Hospital) and Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2015 Nov.

Infectious Diseases 58

Infectious Diseases Emergency Department EMS Hospitals 58

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. DOI: 10.1136/neurintsurg-2015-012131 From NLM. (10)

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Obtain at least 3 views when possible.

Fractures 77

Fractures Dislocations Operations Radiology 77

Taming the SRU

MAY 23, 2023

As an EM physician, it is important to have an understanding of the spectrum of foot injuries and how these are appropriately evaluated. fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Gross deformities often suggest fracture or dislocation. nonunion, post-traumatic arthritis or deformity).

Fractures 57

Fractures Dislocations Operations EMS 57

Taming the SRU

OCTOBER 28, 2024

Potential causes include: -Trauma: Blunt or penetrating thoracic injuries, rib fractures, esophageal rupture (Boerhaave syndrome). She is a graduate from the UC EM residency, class of 2018. 2015 Feb;7(Suppl 1):S44-9. 2015 May;166(5):1317-1317.e1. 2015 Mar;16(2):321-4. 2015 Summer;19(3):e122-4. References 1.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Many authors feel NTI is absolutely or relatively contraindicated with potential basilar skull fractures; there is also opinion arguing that airway protection trumps the extreme rarity of this complication. Intracranial placement of a nasotracheal tube after facial fracture: a rare complication. Should EMS Use Nasotracheal Intubation?

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

EMDocs

NOVEMBER 6, 2024

doi:10.1136/bcr-2015-213897 Paterson AW, Ryan W, Rao-Mudigonda VV. tetani infection is also indicated. 1992;359(6398):832-835. doi:10.1038/359832a0 Giannini L, Maccari A, Chiesa V, Canevini MP. Trismus, the first symptom in a challenging diagnosis of Tetanus. BMJ Case Rep. 2016;2016:bcr2015213897. Trismus: or is it tetanus?

Poisoning 98

Poisoning Airway Management Dislocations Forensics 98