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Journal update

Emergency Medicine Journal

This month’s update is by the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches.

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Proning for ARDS

Northwestern EM Blog

Relative contraindications are several, including difficulty with airway management, facial trauma, ventricular assist device, intra-aortic balloon pump, severe chest wall lesions or rib fractures, massive hemoptysis, unstable pelvic or long bone fractures, and open abdominal wounds. Academic Emergency Medicine. Strayer, R.J.,

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Critical Care 1 – Subarachnoid Hemorrhage

EM SIM Cases

These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable. She is admitted to ICU by the junior resident who attempts management and calls for the fellow. Download Case Here Critical Care Case 1- Subarachnoid Hemorrhage Download

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Critical Care 2 – Myasthenic Crisis

EM SIM Cases

These cases can help individuals and teams prepare to identify and manage these patients who become newly, and sometimes unexpectedly, unstable. The resuscitation team is expected to recognize and manage myasthenic crisis with respiratory failure, with consideration for airway management with an anterior mediastinal mass.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

What They Did: Retrospective, observational cohort study in a single high-volume academic hospital The ED had a 5 bed area used for ongoing management and resuscitation of patients who clinically deteriorate while boarding or while actively undergo a workup in other sections of the ED. J Crit Care.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. Academic emergency medicine 12.9 GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. Less than 8 doesn’t always mean intubate ! References : Teasdale G, Jennett B.

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2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More

ACEP Now

Finally, in what serves as a bit of idle academic curiosity, a re-examination of the rate of intracranial hemorrhage after thrombolysis found starkly different statistics than those typically used in discussions with patients. Effect of noninvasive airway management of comatose patients with acute poisoning: a randomized clinical trial.

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