The Trauma Pro

OCTOBER 11, 2024

I’ve written many posts in the past about the arguments surrounding chest tube size: large bore vs. small bore (pigtail). For the longest time, only a few decent papers were looking into this debate, and subject numbers were small. The best the papers could say was that “small-bore chest tubes are not inferior to large-bore tubes.” Not that this is not the same as saying, “small-bore tubes are better than large-bore tubes.” But finally, after more than ten years, th

Hospitals 147

Hospitals 147

Mount Sinai EM

OCTOBER 11, 2024

A peritonsillar abscess (PTA) is an abscess in the peritonsillar space between the tonsillar capsule, superior constrictor, and palatopharyngeus muscles. If on your initial primary survey, you have concern for airway compromise: drooling, stridor, hypoxia, sniffing position, increased work of breathing, or tripoding–secure the airway. It may be a difficult intubation.

Ultrasounds 100

Ultrasounds Wellness Outcomes Hospitals 100

Science Based Medicine

OCTOBER 11, 2024

It doesn't bode well for the future that "leaders" of major American institutions look at naked emperors and compliment them on their beautiful clothes. The post The President of Stanford Wants Us To Debate Which Number is Larger, 9 or 133 first appeared on Science-Based Medicine.

Wellness 105

Wellness 105

EB Medicine

OCTOBER 11, 2024

In this special episode Sam Ashoo, MD interviews Ryan Johnson, Pharm. D. who shares strategies to address the recent IV fluid shortage caused by Hurricane Helene. 00:00 Introduction and Episode Overview 01:10 Meet Ryan Johnson: Clinical Pharmacist 02:06 Role of Clinical Pharmacists in Emergency Medicine 05:03 IV Fluid Shortage: Causes and Impact 05:56 Institutional Strategies to Mitigate IV Fluid Shortages 14:52 Provider-Level Solutions for Fluid Conservation 22:11 Pharmacy and Nursing Staff Rol

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ALiEM

OCTOBER 11, 2024

A 76-year-old female presented with a lingering cough and an oral lesion to the left lower cheek. She reported ten days of improving flu-like symptoms but had a persistent cough and nasal congestion. On the day of presentation, she developed a painful, intermittently bleeding “blood blister” to the left lower cheek that had increased in size, as well as new red spots on her arms and legs.

Academics 60

Academics Wellness 60

Emergency Live

OCTOBER 11, 2024

The EU has allocated €1.3 million to combat the flight of nurses and support specific action plans The shortage of nursing staff is not a problem confined to Italy, but afflicts many European countries. Our country, however, is experiencing a real emergency, with an exodus of professionals that puts at risk the quality of care […] The post EUR 1.3 million against the nursing crisis: a European alert appeared first on Emergency Live.

Hospitals 52

Hospitals 52

ACEP Now

OCTOBER 11, 2024

Pediatric submersion injuries are one of the leading causes of preventable morbidity and mortality in the pediatric population. And while epidemiology of these cases varies by geographic location, the assessment and management are largely consistent regardless of patient population. 1,2 Clinical outcomes in submersion injuries are largely dependent on the degree of hypoxic injury experienced by the victim, making prehospital care of paramount importance.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

ACEP Now

OCTOBER 11, 2024

5-year-old child involved in a motor vehicle crash (MVC) presents with altered mental status and a Glasgow Coma Scale (GCS) of 8. Her vital signs are: 76 over 43, heart rate of 170, respiratory rate of 6. Her breathing is irregular. What is the most appropriate treatment at this time? Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher freque

Pediatrics 52

Pediatrics Airway Management Emergency Department Wellness 52