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Grand Rounds Recap 9.25.2024

Taming the SRU

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura.

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Grand Rounds Recap 10.30.24

Taming the SRU

mouth, nose, trach Remove inner cannula Suction, suction, suction Inflate the cuff BVM or iGel from above (cuff down) Exchange trach or place ETTT Bag the stoma Intubate from above (if patent) r1 core content: pneumomediastinum and mediastinitis WITH dr. valles Anatomy of the mediastinum Border: Superior: Thoracic inlet Anterior: Sternum and costal (..)

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SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

The pre-specified subgroup analyses showed a decrease in in-hospital or 30-day mortality for myocardial infarction, stroke, aortic aneurysm, and major trauma but not for pneumonia, bowel perforation or hip fractures. This was not the only study to come out of the Danish reconfiguration initiative.

Stroke 56
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Tasty Morsels of Critical Care 071 | Non invasive ventilation in the ICU

Emergency Medicine Ireland

Exacerbations of COPD in this scenario the lungs are scarred and the airways constricted and obstructed. Again, data not exactly clear on that but it seems that if they’re failing extubation due to either pulmonary oedema or bronchospasm/COPD then it’s probably worth a go.

COPD 52
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Grand Rounds Recap 3.8.23

Taming the SRU

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5%

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SGEM#212: Holding Back the Years – Risk Factors for Adverse Outcomes in Older Adults with Blunt Chest Trauma

The Skeptics' Guide to EM

Case: An 85-year-old woman with a history of chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and type-2 diabetes (DM-2), and her 65-year-old otherwise healthy daughter present to the emergency department after a car accident. CJEM March 2018 * Population: Older adults defined as 65-years of age and over.