Remove Academics Remove Fractures Remove Wellness
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Is the D-Dimer Useful in High-Probabilty Pulmonary Embolism?

RebelEM

The patient has a history of a provoked PE after a tib-fib fracture 15 years ago. Wells’ , Revised Geneva ) or clinical gestalt. A recent publication in Academic Emergency Medicine attempts to shed light on this area. Vitals are HR 97, BP 128/78, O2 sat 99% on RA, RR 16, Temp 98.8. Historically PE rate in high-risk ~ 60%).

EMS 45
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Proning for ARDS

Northwestern EM Blog

In this study, they found that prone positioning resulted in significant improvement in oxygenation, as well as a 50% decrease in mortality at 28 days (Guerin et. Position arms in a comfortable position, avoiding any position that could cause a brachial plexus injury, and ensure they are well-supported to avoid pressure ulcers.

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SAEM Clinical Images Series: What’s Coming Out of Your Eye?

ALiEM

On arrival to our emergency department, the patient expressed continued eye pain with bloody discharge as well as blurry vision from his right eye. Laboratory Data CT Orbits/Sella w/ IV Contrast : No acute orbital fracture. He had no other complaints and denied any other trauma or loss of consciousness during the event. Eye (Lond).

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Negotiating the physician identity in an era of complexity and connectivity (Part 1)

Sensible Medicine

A more inquisitive approach would seek to understand why the educational bargain feels more fractured now despite ACGME work hours being more “protective” than ever before. I’ve heard arguments that frame this discussion in terms of trainee wellness, physician burnout, social contract, and patient outcomes.

Hospitals 107
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The Femoral Nerve Block

EM Curious

Identify the triangle shaped femoral nerve, lateral to the femoral artery, as well as the iliopsoas muscle and the fascia illiaca running over its surface. Get your tip as close as possible to the nerve, and under the fascia illiaca, then inject (well, after aspirating first, of course). Academic Emergency Medicine, 20(6), 584–591.

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SGEM#264: Hooked On A Feeling? Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain

The Skeptics' Guide to EM

He is also the CME editor for Academic Emergency Medicine. He is also the CME editor for Academic Emergency Medicine. Case: You are taking care of a 56-year-old woman who presented to the emergency department with a Jones fracture. Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain. Volkow et al.

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Complex Regional Pain Syndrome

Don't Forget the Bubbles

We know that fractures are the precipitating event in about 5–14% of cases and surgical procedures in 10–15%. Children and their families should undergo a psychological assessment to understand and properly address possible individual, familial, social or academic issues. More recently, Mesaroli et al. References Bayle-Iniguez X.,