Wed.Dec 18, 2024

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Authors: Kyler Osborne (EM-3 Resident Physician; Tacoma, WA); Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA); Rachel Bridwell, MD (EM Attending Physician; Charlotte, NC) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician) Welcome to emDOCs revamp!

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Procedure: Lateral Canthotomy

Life in the Fast Lane

Kevin Ostrowski and James Miers Procedure: Lateral Canthotomy Today we cover lateral canthotomy and cantholysis, with a guide made in partnership with a recent publication in Australasian Emergency Care

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Critical Care 2024 Year in Review (Part 2)

PulmCCM

Danger-Shock, video vs. DL, PROPHY-VAP, ENRICH, MARVEL, C.

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Out-of-Hospital Intranasal Ketamine as an Adjunct to Fentanyl for the Treatment of Acute Traumatic Pain: A Randomized Clinical Trial

EM Ottawa

Methodology: 4/5 Usefulness: 2/5 McMullan JT, et al. Ann Emerg Med. 2024 Oct;84(4):363-373. doi: 10.1016/j.annemergmed.2024.04.018. Question and Methods: This out of hospital, placebo-controlled, blinded, parallel group RCT compared reduction in pain scores between Fentanyl + IN Placebo and Fentanyl with IN Ketamine. Findings: There was no significant difference in reduction of pain scores or adverse […] The post Out-of-Hospital Intranasal Ketamine as an Adjunct to Fentanyl for the Treatme

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Traumatic Cardiac Arrest

SCGH ED

Here are some algorithms to assist in the management patients who present with cardiac arrest related to trauma – that is suspected to be resulting from either hypovolaemic shock, obstructive shock or neurogenic shock. Note – In the case of an isolated traumatic brain injury (TBI): “in the absence of other injuries, such patients should […] The post Traumatic Cardiac Arrest appeared first on Charlie's ED.

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Podcast – Grief at Christmas

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed The holiday season, a time typically marked by joy and celebration, presents unique challenges for those working in emergency and intensive care units. This is a reminder of a podcast from 2016, where Liz Crowe discusses how to navigate the complexities of grief and gratitude during this time of year. The post Podcast – Grief at Christmas appeared first on St.Emlyn's.

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Validation of the Hospital for Sick Children Algorithm for Discriminating Bacteremia From Contaminants in Children With a Preliminary Positive Blood Culture

EM Ottawa

Methodology: 3.5/5 Usefulness: 2/5 Gravel J, et al. Ann Emerg Med. 2024 Nov;84(5):490-499. doi: 10.1016/j.annemergmed.2024.05.005. Question and Methods: The authors aimed to validate the Sick Kids algorithm for distinguishing bacteremia from contaminants in pediatric ED patients with positive blood cultures. Findings: The algorithms sensitivity and specificity were 100% and 11% respectively; suspicion for osteoarticular infection, […] The post Validation of the Hospital for Sick Children A

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REBEL Core Cast 133.0 – TMJ Dislocation

RebelEM

Take Home points : Atraumatic TMJ dislocations are typically anterior in nature and can be reduced by a variety of techniques in the ED Traumatic TMJ dislocations often involve mandible fractures and typically require open reduction and fixation in the operating room Consider using the syringe, gag and extraoral reduction techniques first line as they frequently do not require parenteral analgesics or procedural sedation REBEL Core Cast 133.0 – Mandible Dislocation Click here for Direct D