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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Resuscitate prior to intubation. Preparation: dual large bore suction devices, full PPE, push dose pressors, prep for soilage of airway device, multiple devices, prep for cricothyrotomy. 2023 May;163(5):1176-1184. Avoid HOP killers: hypotension, hypoxemia, acidemia. of the nebulized-TXA arm vs 50.9% of the IV-TXA arm.

COPD 82
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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR 1, LOE C-LD.

Poisoning 115
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Chemical Burns

Mind The Bleep

Use appropriate personal protective equipment (PPE) to avoid secondary contamination. Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications. Updated 2023 Jul 17]. Updated 2023 Jul 17].

Burns 52
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First10EM Journal Club: March 2024

Broome Docs

doi: 10.1136/emermed-2023-213285. Is our PPE evidence-based? 2023 Sep 21:ciad571. 2023 Sep 19:S0196-0644(23)00671-6. Resuscitation. 2023 Dec;193:109991. 2023 Aug 21:S0012-3692(23)05350-3. 2024 Jan 29:jme-2023-109651. doi: 10.1136/jme-2023-109651. Emerg Med J. 2024 Jan 22;41(2):96-102.

PPE 96
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ED care of refugee populations from sub-Saharan Africa

EMDocs

1 By the end of 2023, 117.3 4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. 43% of refugees admitted into the US in the first 8 months of the 2023 fiscal year were from Africa. Accessed June 11, 2023.