The Trauma Pro

DECEMBER 17, 2024

Anyone who takes care of blunt trauma has seen the Morel-Lavallee lesion (M-L). Heres an obvious one because its acute: The M-L lesion is essentially a closed degloving injury in which the skin remains intact. The subcutaneous tissue is sheared off of the underlying fascia, and typically blood accumulates in the potential space that is created. This picture shows a less acute lesion; the bruising and ecchymosis on the surface have resolved.

Outcomes 191

Outcomes 191

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Patients present to the ED with hypovolemia secondary to a plethora of causessome requiring IV fluid resuscitation and others requiring none. Considering the nationwide IV fluid shortage, judicious use of fluids is imperative.

Dehydration 52

Dehydration Fluid Resuscitation Administration Resuscitation 52

ACEP Now

DECEMBER 17, 2024

Medical training is a difficult task. As residents and fellows, we move wherever the Match sends us, endure grueling hours, and sacrifice time with loved onesall in pursuit of becoming the best doctors we can be and delivering excellent patient care. But we should not have to sacrifice our own well-being in the process. In Washington, D.C., more than 450 residents and fellows employed by George Washington University (GW) spent the past 15 months fighting for our first contract.

Burns 59

Burns Hospitals Documentation/Coding Emergency Department 59

RebelEM

DECEMBER 17, 2024

Bottom Line Up Top: There doesnt appear to be a morbidity or mortality benefit to treating fever in sepsis and fever may have a protective effect. Only treat fever if it causes the patient distress. Clinical Scenario: A 45-year-old woman presents with cough and shortness of breath. Vitals are BP 114/42, HR 138, T 102.1, Sat 93% on RA. The patient is alert and oriented and has no other complaints.

Sepsis 58

Sepsis Shock EMS Emergency Department 58

Science Based Medicine

DECEMBER 17, 2024

Reality. Doesn't care what you think. The post Reality first appeared on Science-Based Medicine.

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The Bottom Line

DECEMBER 17, 2024

High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients with Acute Respiratory Failure RENOVATE and BRICNet Authors. JAMA 2024. doi: 10.1001/jama.2024.26244 Clinical Question In adult patients with acute respiratory failure does the use of high-flow nasal oxygen compared to noninvasive ventilation reduce the rate of endotracheal intubation or death at 7 days?

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St. Emlyn

DECEMBER 17, 2024

St.Emlyn's - Emergency Medicine #FOAMed All the best from the blog from October 2024, in our easy to digest podcast, including toxicology and cardiac arrest pearls The post Ep 254 – Monthly Round Up October 2024 – Toxicology, Cardiac Arrest and more appeared first on St.Emlyn's.

Emergency Department 53

Emergency Department 53

EMergucate

DECEMBER 17, 2024

This week our case involves complications around elective cardioversion.

EKG/ECG 40

EKG/ECG EMS 40

The Bottom Line

DECEMBER 17, 2024

Liberal versus Restrictive Transfusion in Aneurysmal Subarachnoid Haemorrhage English S. NEJM 2024 DOI:10.1056/NEJMoa2410962 Clinical Question In patients following acute aneurysmal subarachnoid haemorrhage, does a liberal strategy of blood transfusion compared with a restrictive strategy of blood transfusion reduce unfavourable neurological outcome?

Blood Transfusions 59

Blood Transfusions Outcomes 59

EB Medicine

DECEMBER 17, 2024

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the December 2024 Emergency Medicine Practice article, Diagnosis and Management of Acute Mesenteric Ischemia in the Emergency Department Introduction to Acute Mesenteric Ischemia Statistics on prevalence and mortality Pathophysiology and EtiologyMesenteric artery embolism Mesenteric artery thrombosis Mesenteric venous thrombosis Non-occlusive mesenteric ischemia Diagnosis Management and Treatment Special Populations Pediatric patients Pr

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Sensible Medicine

DECEMBER 17, 2024

I had the pleasure of being interviewed by Michael Easter. Michael is behind the TWO/PERCENT Substack where he offers “practical, accurate, and useful health, performance, and mindset information.” I’ve listened to, and read, a bunch of Michael’s content. Not only is it enjoyable but it seems, well, sensible. Our conversation was inspired by my Coming Out Against the Healthy Lifestyle post.

Evidence-Based Practice 52

Evidence-Based Practice Wellness 52