EMergucate

NOVEMBER 27, 2018

Critically unwell 59 year old returned traveller with shock and uncertain cause. CXR reveals large pleural effusion (Radiology case of … Continue reading →

Radiology 40

Radiology Radiology Shock EMS 40

RebelEM

OCTOBER 5, 2023

Pneumonia diagnosis supported by clinical and radiologic criteria. About 25% of the excluded patients had septic shock, but the classification of hypotension as septic shock was at the discretion of the treating team. appeared first on REBEL EM - Emergency Medicine Blog.

Research 94

Research Outcomes Administration Shock 94

RebelEM

NOVEMBER 20, 2023

Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. PMID: 30566723 Bulger EM, Perina DG, Qasim Z, et al. appeared first on REBEL EM - Emergency Medicine Blog. Paper: Jansen JO, Hudson J, Cochran C, et al. J Spec Oper Med.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Advocacy for Trauma Care and EMS Development. Development of EM Residencies.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Emergency Medicine Ireland

JULY 5, 2021

Rash and shock or rash and SOB means anaphylaxis * the term mucosal involvement can mean the tongue and pharynx but also the rest of the GI tract. Let’s say you eat a peanut get tummy cramps, diarroeah and a BP of 60 systolic. Peak levels occur ~15-120 mins post event and decline predictably (T1/2 ~2hrs).

Anaphylaxis 40

Anaphylaxis Radiology Radiology Shock 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. After balloon occlusion, blood pressure improved sufficiently to take the patient either to interventional radiology or to the OR. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

RebelEM

JANUARY 25, 2023

Radiology US 90% 96% 14.1 Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 94.0 – SBO appeared first on REBEL EM - Emergency Medicine Blog. 2.3 – 5.4) (-) LR: 0.18 (0.09 – 0.35) Ultrasound Findings Dilated loops of bowel (diameter > 2.5 0.27 – 0.83 0.34 – 0.43 Abdominal X-ray 75% 66% 1.6

Operations 52

Operations Sepsis Resuscitation Ultrasounds 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was brought in by EMS after she experienced acute onset sharp midsternal chest pain without radiation or dyspnea. She felt nauseous and lightheaded with no neurologic deficits.

Ultrasounds 40

Ultrasounds EKG/ECG EMS Radiology 40

EB Medicine

JUNE 6, 2019

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: Moving on to blood pressure: frank hypotension should make you immediately think of a ruptured AAA or septic shock 2/2 an intra abd infection. In one study, a SI > 0.7

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. J Gastrointest Surg. 2017;21(11):1946-1953.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

JUNE 3, 2023

What is the EM physician’s role in the stabilization of unstable pelvic injuries? 4 Patients with pelvic fractures are considered unstable when systolic blood pressure < 90mmHg and heart rate >120bpm, or in those with dyspnea, altered mental status, or skin findings of shock. Figure 2: Open book pelvic fracture.

Fractures 60

Fractures Resuscitation Operations EMS 60

EB Medicine

JANUARY 2, 2019

I know this is a HOTLY debated topic among EM Docs. Jeff: All patients with a positive pregnancy test and vaginal bleeding should receive an ultrasound performed by either an emergency physician or by radiology. Jeff: Oh it certainly is. Nachi: And the last treatment to discuss is for pregnant patient with acute appendicitis.

Ultrasounds 40

Ultrasounds Radiology Radiology Infectious Diseases 40

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. However, IgE-mediated or not, anaphylactic shock is possible in either case. Journal of the American College of Radiology 2019, 16 (5, Supplement), S26-S37.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64