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The Broselow-Luten System

Pediatric EM Morsels

James Broselow, a family medicine-turned-emergency medicine physician from Hickory, North Carolina , recognized that his team spent a lot of time trying to calculate doses of medications rather than spending their mental energy on the actual medical decisions for the resuscitation. Academic Emergency Medicine, 14: 500-501.

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SGEM#443: Don’t Stop Me Now – REBOA for Hemorrhage Control in Trauma Patients?

The Skeptics' Guide to EM

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. Case: A 24-year-old patient is involved in a high-speed motor vehicle collision. Reference: Jansen et al.

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The ‘Hidden C’

Don't Forget the Bubbles

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. How do you manage this situation? Incivility can mean many things.

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Workplace Violence and Mental Health in Emergency Medicine

ACEP Now

1 The questions raised by this tragedy are many: How did a gun make its way into the emergency department in the first place? 2 But this was not a patient, it was a colleague! 3 Perhaps most importantly, how was this individual able to function at a high level, caring for patients while in such psychological distress?

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. The history of metabolic and bariatric surgery: development of standards for patient safety and efficacy. 2013;21 Suppl 1:S1-S27.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

This has been shown to increase the first pass success rate in these challenging scenarios, reducing the risk of complications and optimizing patient safety (23). Case Resolution: The patient was placed on NIPPV. The patient was placed in a semi-fowler’s position and given 0.4mg/kg of midazolam. Int J Emerg Med.

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The CLOVERS Trial

Taming the SRU

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. N Engl J Med. 2023;388(6):499-510. 2021, Jarczak, Kluge et al. However – is this the best endpoint for such a trial?

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