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UK-REBOA Trial: Innovative or Over-Inflated?

Critical Care Now

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Reading Time: 3 minutes Jansen JO, Hudson J, Cochran C, et al. 2023;e2320850.

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SGEM#365: Stop! It’s Not Always Hammer Time

The Skeptics' Guide to EM

BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. It’s Not Always Hammer Time first appeared on The Skeptics Guide to Emergency Medicine. X-rays show severe, tri-compartment arthritis. Tricoci et al.

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SGEM#385: If the Bones are Good, the Rest Don’t Matter – Operative vs Non-Operative Management of Scaphoid Fractures

The Skeptics' Guide to EM

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture: A meta-analysis of randomized controlled trials. DISCLAIMER: THE VIEWS AND OPINIONS OF THIS BLOG AND PODCAST DO NOT REPRESENT THE UNITED STATES GOVERNMENT OR THE US MILITARY.

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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) was first used 50 years ago in the Korean War but was not mentioned in emergency medicine literature until 1986. Clinical Question: What are the outcomes of trauma patients after REBOA placement? The evidence for REBOA is conflicting. Reference: Joseph et al.

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Episode 14: Thoracotomy

PHEM Cast

Emergency thoracotomy in thoracic trauma: a review. Emergency Department thoracotomy for the critically injured patient: Objectives, indications, and outcomes. World Journal of Emergency Surgery; 2006: 1:4. Survival after Emergency Department thoracotomy: review of published data for last 25 years.

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SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture?

The Skeptics' Guide to EM

He will soon be transitioning out of the US military after […] The post SGEM#420: I get knocked down, but I get up again – do I have a scaphoid fracture? first appeared on The Skeptics Guide to Emergency Medicine. Date: November 2, 2023 Reference: Coventry et al.

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UK-REBOA on Trial: Innovative or Over-Inflated?

RebelEM

Military practice guidelines recommend REBOA for profound shock (SBP <90mmHg) 1 and ACEP along with the American College of surgeons recommend REBOA for traumatic life-threatening hemorrhage below the diaphragm in patients with hemorrhagic shock who are unresponsive or transiently responsive to resuscitation.