Taming the SRU

AUGUST 4, 2024

We discussed some practices to push learners outside of their comfort zone and promote learning, based on their level as well as their goals for the shift.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

RebelEM

SEPTEMBER 26, 2022

Randomized study design Blind adjudication of transfusion reaction outcomes Follow-up was complete. Patients from both groups are well balanced regarding results from a wide range of coagulation studies. Significant coagulopathy: INR > 1.8 Investigators performed an Intention-to-treat analysis. Ann Intern Med. Transplant Proc.

Resuscitation 52

Resuscitation Blood Transfusions Outcomes Hospitals 52

Northwestern EM Blog

JANUARY 24, 2022

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. And for most forms, EM physicians are not typically shocked by shock. Expert Commentary Dr. Stulpin's review of a very critical topic is well articulated and concise.

Anaphylaxis 52

Anaphylaxis Shock Sepsis Resuscitation 52

Taming the SRU

MAY 30, 2023

billion passengers annually 1 medical emergency per 604 flights Most common complaints: Syncope/presyncope: 37.4% Respiratory symptoms: 12.1% Nausea and vomiting: 9.5% Diversion occurs 7.3% of in-flight emergencies Deaths occurred 0.3% Smith Quick Facts regarding In-Flight Emergencies: 2.75 Respiratory symptoms: 12.1% Nausea and vomiting: 9.5%

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

EB Medicine

OCTOBER 1, 2018

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. Another study, however, showed knowledge gaps by advanced EMS providers in diagnosis and management of sepsis. What does that mean?

Sepsis 40

Sepsis Shock Fluid Resuscitation Hospitals 40

EB Medicine

MARCH 1, 2019

Nachi: This month’s team parsed through roughly 1200 articles as well as guidelines from the eastern association for surgery in trauma also known as EAST. Jeff: And don’t forget to get the crash details from the EMS crew before they depart! Unfortunately, CT does not perform well for the evaluation of myocardial contusions.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

RebelEM

FEBRUARY 1, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post The AcT Trial: Tenecteplase vs Alteplase for Acute Ischemic Stroke appeared first on REBEL EM - Emergency Medicine Blog. mg/kg, max 25mg) vs. intravenous alteplase (0.09 mg/kg followed by 0.81 vs Alteplase 34.8% Unadjusted risk difference 2.1% [ 95% CI -2.6 mg/kg followed by 0.81 vs Alteplase 34.8%

Stroke 132

Stroke Blood Transfusions Outcomes EMS 132

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Blood Transfus. Curr Neurol Neurosci Reports. 2018;18(10):71.  2018;18(10):71.

Seizures 98

Seizures Stroke Outcomes EMS 98

EMDocs

JUNE 3, 2023

Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.

Fractures 60

Fractures Resuscitation Operations EMS 60

EMDocs

JUNE 27, 2024

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. Sundd P, Gladwin MT, Novelli EM. C or 100.4 mg/kg, max 0.4

Pediatrics 94

Pediatrics Dehydration EMS Hospitals 94

RebelEM

FEBRUARY 22, 2024

in liberal) received a blood transfusion (2.3 as well as their primary outcome confidence interval certainly limits the overall confidence in the trial results. Liberal versus restrictive transfusion thresholds for patients with symptomatic coronary artery disease. Circulation. 2012;126(16):2020-2035. Type 1: 41.7

Blood Transfusions 58

Blood Transfusions Outcomes Wellness Research 58

Pediatric EM Morsels

DECEMBER 6, 2024

Responsible for a variety of diseases in humans, including the well-known “ fifth disease ” in children, but it can also lead to more severe complications in certain individuals, particularly those with compromised immune systems, or with underlying hematologic disorders. Immunoglobulin therapy may be considered in severe cases.

Blood Transfusions 164

Blood Transfusions Infectious Diseases CDC Pediatrics 164

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

RebelEM

DECEMBER 23, 2024

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). appeared first on REBEL EM - Emergency Medicine Blog.

Fluid Resuscitation 124

Fluid Resuscitation Resuscitation Documentation/Coding Outcomes 124

EMDocs

JANUARY 6, 2025

A whole blood transfusion is initiated for the management of her anemia. She receives IV calcium gluconate and bicarbonate as well as oral potassium binders for hyperkalemia. She receives IV antimalarials for severe malaria (as defined by AKI, anemia, electrolyte imbalance, and a history of convulsions).

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72