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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Based on light absorption from blood flow at the sensor site (using HbA, not HbS) Underestimates alveolar hypoxemia. Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. COVID-19 and ACS COVID increases the risk of hospitalization, pneumonia, pain, and ACS in SCD patients.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Based on light absorption from blood flow at the sensor site (using HbA, not HbS). Consider risk factors for multi-drug resistant microbes: Recent IV antibiotics Hospitalization within 90 days. Blood transfusion Reduces the overall proportion of HbS. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C.

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Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

Primary Results Patients enrolled from 15 emergency medical services at 21 hospitals across 3 countries over 7 years. SBP < 75 mm Hg: 39% SBP 76-89 mm Hg: 33% Critical Findings: No statistically significant difference in safety outcomes (DVT, PE, MI, Stroke) TXA Placebo RR (95% CI) Primary Outcome Good Functional Outcome (6 months) 53.7%

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Issue #1: The Latest in Critical Care, 5/8/23

PulmCCM

Among 1150 patients considered high risk for aspiration at 15 French hospitals, those randomized to receive remifentanil had a higher rate of severe complications of intubation (aspiration, hypoxemia, hypotension, arrhythmia, cardiac arrest, or anaphylaxis), compared to those receiving neuromuscular blockade. This feels like a bad sign.

Stroke 52
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

Four level-1 US trauma centers participated in the study where the inclusion criteria were trauma patients who were within 2 hours of their injury and were transported to the trauma center from either the field or another hospital. MI or stroke). The primary outcome was head injury-related death in-hospital within 28 days of injury.

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Grand Rounds Recap 3.29.23

Taming the SRU

Cardiac Arrest in Pregnancy 1 in 30,000 pregnancies 800 maternal deaths globally Rates have nearly doubled between 1989 and 2009 Survival to hospital discharge after maternal in-hospital cardiac arrest 58.9% Do not transport to an alternative location.

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Grand Rounds Recap 7.31.24

Taming the SRU

Can present in a delayed fashion, does not always occur immediately after pacemaker placement Delayed presentations present with signs and symptoms of cardiac tamponade in two-thirds of cases Abdominal Aortic Aneurysm Repair is usually indicated when aortic diameter is >5.5