RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

Resuscitation 145

Resuscitation Fluid Resuscitation Head Injuries Shock 145

ACEP Now

SEPTEMBER 3, 2024

He was shocked when the hospital CEO took him up on it, but a year later, volumes increased 30 percent with his emphasis on quality rather than cost-cutting. The AMA found that administrative burden of reimbursement and low rates were the most frequent factors in physicians’ decisions to sell their practices. Radiology Business.

Hospitals 113

Hospitals Radiology Radiology Emergency Department 113

EMDocs

NOVEMBER 4, 2023

A) Administration of a 30 mL/kg bolus of normal saline B) Admission for intravenous vancomycin C) CT scan of the pelvis D) Emergency surgical consultation and broad-spectrum antibiotics Answer: D Fournier gangrene is necrotizing fasciitis of the perineal, genital, or perianal anatomy. Radiology Key. J Emerg Trauma Shock.

EMS 93

EMS Ultrasounds Emergency Department Infectious Diseases 93

RebelEM

OCTOBER 5, 2023

Pneumonia diagnosis supported by clinical and radiologic criteria. The treating physicians and research personnel were all unaware of the treatment arm, reducing the potential for bias in treatment administration and outcome assessment. Population Inclusion Criteria: Adult patients (≥18 years old).

Research 94

Research Outcomes Administration Shock 94

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. 1950s & 1960s Resuscitation Research. Trimble, Tom, RN CEN.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EMDocs

JUNE 3, 2023

4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. 12 An AP x-ray of the pelvis should be obtained in the ED for unstable patients. Note placement over the greater trochanters.

Fractures 63

Fractures Resuscitation Operations EMS 63

EMDocs

NOVEMBER 13, 2023

However, IgE-mediated or not, anaphylactic shock is possible in either case. The American College of Radiology (ACR) recommends a premedication schedule 12 hours before a contrasted CT with steroids and diphenhydramine in patients who are at high risk for hypersensitivity reaction but recognizes that this is not feasible in the acute setting.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

Sensible Medicine

MARCH 19, 2025

The three of us took the elevator down to the radiology department to examine the patients’ CT scans. He made a point, though, of meeting his colleague face-to-face, and everyone we visited was both shocked and delighted that we made the time for them. Only the Lord (and the administration) knows.

Radiology 70

Radiology Radiology Hospitals Administration 70

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 65

Documentation/Coding Seizures Psychiatric Wellness 65

Don't Forget the Bubbles

AUGUST 13, 2023

However, if radiological evidence of raised intracranial pressure is seen, do not perform lumbar puncture. cerebral abscess, tubercular meningitis, traumatic injuries), with suspected structural defects of the brain or with abnormally large heads. Raised intracranial pressure to be determined clinically rather than by CT scan. meningitis C.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97