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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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Grand Rounds Recap 2.14.24

Taming the SRU

Early recognition and prompt treatment is key. non-invasive positive pressure ventilation and IV nitroglycerin infusion have been shown to reduce morbidity (intubation rates, ICU admission) & mortality.

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TXA in head injuries

Don't Forget the Bubbles

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. Well, one study in Kornelson’s systematic review and meta-analysis is interesting. Two IVs go in, one in each antecubital fossa. D – here, we have a problem.

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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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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.

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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.