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Chung – Environmental Injuries: Burns, Electrical, Altitude, Heat Stroke

University of Maryland CC Project

Edward Hebert School of Medicine at the Uniformed Services University of the Health Sciences presents on Environmental Injuries including burns, electrical, altitude and heat stroke. Dr. Kevin Chung, Professor and Chair of the Department of Medicine, and professor of Surgery, at the F.

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Grand Rounds Recap 5.22.24

Taming the SRU

Susan Wilcox Increasing regionalization due to: Growth of specialty centers Increasing development of healthcare systems Hub-and-spoke models Development of ECMO, trauma, transplant, and stroke centers The higher the acuity of the centers, the higher the acuity of the patient that needs to get there.

Shock 91
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How To Manage Tracheo-Innominate Fistula

ACEP Now

Tracheo-innominate artery fistula after stroke. A case of trachea-innominate artery fistula after tracheostomy successfully treated with a covered stent. NMC Case Report Journal. 10, 2023;21-5. Mun JH, Jun PS, Sim Y-J, et al. Ann Rehabil Med. 2012;36(6):876-9. Taechariyakul T, Keller F, Jahangiri Y.

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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

A code stroke is activated, and a CT head shows a left basal ganglia hemorrhage with no vascular lesions on CT angiography. Initial evaluation by medics revealed right arm weakness, a right facial droop, and decreased responsiveness. When he arrives at your ED, the family tells you he was doing fine until dinner.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 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. Assessment of coma and impaired consciousness.

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

ACEP Now

One of the paradoxical oddities of treatment for acute stroke is the reversal of anticoagulation to enable treatment with thrombolysis. Thrombolysis after dabigatran reversal for acute ischemic stroke: a national registry-based study and meta-analysis. Theodorou A, Melanis K, Bakola E, et al. 2024;103(7):e209862. 2024;103(11):e210020.

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Fourteen Emergency Medicine Research Gems from 2023

ACEP Now

What’s New in Stroke Care? The simplicity of tenecteplase administration makes its use likely the preferred agent for treating acute ischemic stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke. the “ARAMIS” trial throws up another red flag for patients suffering mild stroke.