Remove 2023 Remove Operations Remove Sepsis
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Bubble Wrap PLUS – May 2023

Don't Forget the Bubbles

This month’s list features answers to intriguing questions such as: ‘ Is the neonatal sepsis calculator useful if women were not screened for GBS? ’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? 2023 Apr 17. 2023 Apr 25;329(16):1386-1398.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

The Sisyphean task remains to try to keep up—and, in that vein—here is a light round of the emergency medicine literature from 2023. 7 The operators involved in the trial were mostly emergency medicine residents or critical care fellows, but this fact does not diminish the generalizability of these observations. All bleeding stops.

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Infective Flexor Tensosynovitis (Flexor Sheath Infection)

Mind The Bleep

Management Immediate management: Consider ABCDE approach and Sepsis 6 pathway including early empirical IV antibiotics. Operative management: Surgical washout of the flexor sheath within 24 hours of the decision to operate. StatPearls Publishing; 2023. Consider tetanus booster if applicable. Remove all rings!

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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2023 Apr 28;24(3):579-587. 0.41), p < 0.001. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2022 Apr;29(4):406-414. doi: 10.1111/acem.14431. Paediatr Anaesth. 2018 Mar;28(3):210-217. doi: 10.1111/pan.13340. PMID: 29436138.

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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

Data from the Nurse-Family Partnership program involving 60,171 families were analysed across four cohorts, including pre-pandemic and three pandemic cohorts (from July 2022 to October 2023). However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure.

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SAEM Clinical Images Series: An Unusual Foreign Body

ALiEM

Patients are at high risk of bacterial spread to the abdomen or retrograde spread up the ventriculoperitoneal shunt leading to peritonitis, peritoneal abscess, ventriculitis, meningitis, or sepsis. General surgery and neurosurgery should be consulted emergently for further operative interventions. Surg Neurol Int.

Sepsis 60
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emDOCs Revamp: Esophageal Perforation

EMDocs

1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. 1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. Accessed September 30, 2023.