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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

There is lower quality evidence for reduced myocardial infarction and mortality risk as well. Additionally, many chambers are not operated on nights and weekends, and of those available at off hours, many are unable to accommodate intubated patients. However, several factors limit HBOT use.

Burns 52
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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation.

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REBEL Cast Ep122 – Delayed vs Rapid Sequence Intubation in Agitated Trauma Patients

RebelEM

This helps relieve agitation/pain while maintaining spontaneous breathing and airway reflexes allowing for adequate pre-oxygenation as well as facilitates other resuscitation interventions including IV access, vasopressors, fluids, etc. that would not be possible in an agitated/combative patient.

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Grand Rounds Recap 7.31.24

Taming the SRU

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. The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

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Emergency Physician Provides HIV and Hepatitis C Testing, Counseling to Underserved Communities

ACEP Now

Her new community has a higher prevalence of Hepatitis C than HIV, so they began screening for that in the ED as well. Her inner drive to help others, first sparked when the was a child living in the Manhattan projects, still burns bright today. Today, their patients can be screened for HIV, Hepatitis C and substance use disorder.

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This Emergency Physician Leader Works on Patients and Policy

ACEP Now

And it is not lost on me that, as a Black woman from Detroit, I was behind the scenes doing operations but also trying to lead the masses of people. What it meant for there to be a woman of color in that role, and working on operations but also working behind the scenes on policies and decisions that were being made.

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How To Use SALAD To Manage Unstable Epistaxis and the Airway

ACEP Now

Per discussion with family over the phone it was determined she had mild dementia, but had been feeling well prior to her mechanical fall. An additional operator should be present at the airway for any intubation deemed to be difficult, notably when using the SALAD technique. Burns B, Habig K, Eason H, Ware S.