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Pre-Hospital Antibiotics in Sepsis?

RebelEM

PMID: 35387313 Clinical Question: Do prehospital antibiotics impact 28 day mortality, length of stay in the hospital and ICU length of stay for patients triggering sepsis compared to usual care (No prehospital antibiotics)? Until that time, the best evidence indicates that in the sickest patients (i.e. to 0.97; p = 0.02 to 0.97; p = 0.02

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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Hospital versus home management of children with buckle fractures of the distal radius. old) with pure buckle fracture of the distal radius, ulna or both were: treated with a removable wrist brace, parents given specific activity restrictions and directions on removal of splint. J Pediatr Orthop. 2005;25:322–325. J Bone Joint Surg Br.

Fractures 290
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The Electronic Trauma Flow Sheet: Why Hospitals Want You To Switch

The Trauma Pro

The biggest question is, why does your hospital want you to use it? Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). When I started this series nearly 15 years ago, many hospitals still used paper charting.

Hospitals 100
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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

What is the best management of this condition? with 350,000 hospitalizations annually and a mortality rate of five to 10 percent. However, a 2017 study of 34 patients suggests that balloon tamponade, when used as a bridge to EGD, improves patient mortality, with 59 percent of patients surviving to hospital discharge.

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A routine resuscitation

Don't Forget the Bubbles

Elaine Bromiley went into hospital for a routine operation. He died in Victoria, Australia, in 2021 after a period of prolonged brain injury sustained in a fully equipped metropolitan hospital. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

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Imported Malaria

Pediatric EM Morsels

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Higher Rates of Misdiagnosis in Pediatric Patients versus Adults Hospitalized with Imported Malaria. June 28, 2023. J Travel Med.

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Grissom – Low Tidal Volume Ventilation

University of Maryland CC Project

He discusses his experience with implementing best practices, specifically low tidal volume ventilation, across […] Dr. Colin Grissom is professor of medicine at Intermountain Healthcare as well as University of Utah.