Remove 2020 Remove Dislocations Remove Shock
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ACEP Opioid | PERT and COVID | SMART for Sepsis | AHA Rx-Induced Rhythm | POCUS Shoulder Dislocation

JournalFeed

28- Oct 2, 2020. We cover the new ACEP opioid policy statement, PE response teams during COVID-19, a SMART balanced fluid trial spin-off in septic shock, an AHA statement on drug-induced arrhythmia, and use of POCUS for shoulder dislocation. It’s the JournalFeed Podcast for the week of Sept.

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Grand Rounds Recap 1.3.24

Taming the SRU

Physicians believe the biggest factors contributing to ED violence are a lack of adequate punitive consequences toward the attacker and the absence of adequate protective mechanisms for staff. Additionally, ED boarding is a now a larger factor than in 2018.

EKG/ECG 93
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EM@3AM: Thoracic and Lumbar Spine Trauma

EMDocs

Intervertebral disks lie between vertebrae and act as shock absorbers. Fracture-dislocation of the thoracolumbar spine without neurological deficit: a report of two cases and literature review. Published 2020 Jul 29. 2-4 Around 7% of all blunt trauma injuries include the thoracic and lumbar regions. Orthop Traumatol Surg Res.

EMS 104
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. J Emerg Trauma Shock. Published 2020 Jul 23. Published 2020 Jan 21. doi:10.1183/13993003.03375-2020 Light RW. Published 2020 Mar 16. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation.