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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Preparation: dual large bore suction devices, full PPE, push dose pressors, prep for soilage of airway device, multiple devices, prep for cricothyrotomy. Am J Emerg Med. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. Avoid HOP killers: hypotension, hypoxemia, acidemia.

COPD 81
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First10EM Journal Club: March 2024

Broome Docs

Emerg Med J. PMID: 38050078 Bottom line: High dose nitroglycerin seems to result in better outcomes in SCAPE, at least according to this small, single center, unblinded trial. Is our PPE evidence-based? 2024 Jan 22;41(2):96-102. doi: 10.1136/emermed-2023-213285. Diekema DJ, Nori P, Stevens MP, Smith MW, Coffey KC, Morgan DJ.

PPE 96
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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

After donning your PPE (personal protective equipment) and greeting the trauma surgeon in your resuscitation bay, nursing delivers report that you are about to receive a 24-year-old male that was involved in an explosion that knocked the patient from their vehicle. Reference: Joseph et al. JAMA Surgery March 2019.

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Hand Examination & Pathology

Don't Forget the Bubbles

We will focus on the most important structures when assessing paediatric hands in the emergency department. Finger injuries caused by fingers being caught in closing doors are extremely common presentations to the paediatric emergency department. It additionally has an intricate blood and nerve supply.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Decontamination and Appropriate Personal Protective Equipment (PPE) This prevents ongoing exposure to the patient and ED staff. Dispose of clothing appropriately and wear PPE to prevent personal exposure. Parenteral organophosphorus poisoning in a rural emergency department: a case report. BMC Res Notes. 2013; 6:524.