Ziqitza HealthCare Ltd

JANUARY 2, 2024

What is a Hairline Fracture? A common cause of sports injuries, hairline fracture is a type of fracture that begins as a minor inflammation on the surface of a bone and manifests as a tiny thin hair-like crack on the bone. It is also known as a stress fracture or a fissure fracture.

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Fractures Ambulance Services Shock 52

JournalFeed

DECEMBER 26, 2020

We cover the pros and cons of NSAIDs for adult fractures, the accuracy of COVID-19 antibody testing, angiotensin II for refractory shock, and a Merry Christmas song! It’s the JournalFeed Podcast for the week of Dec 21-25, 2020.

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Fractures Shock 52

EMDocs

MARCH 9, 2025

A) Factor VIII deficiency B) Hereditary spherocytosis C) Recently reduced closed long bone fracture D) Sickle cell disease Correct answer: D Osteomyelitis is a bacterial infection of the bone typically caused by hematogenous spread of a bloodborne bacteria. C) is seen in 76.3% CRP >1.0 sensitivity of 91.5%, CRP >2.0 Skeletal Radiol.

Pediatrics 52

Pediatrics EMS Infectious Diseases Fractures 52

Taming the SRU

JANUARY 24, 2024

ETT Depth = ETT size x3 initial defibrillation: 2J/kg (next shock is 4J/kg) Toxicology Quick Hits Fomepizole is the treatment for both polyethylene glycol and methanol toxicity. Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? reduction, elbow cast, +/- ORIF Monteggia Fracture How? FOOSH What?

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Fractures Leadership Dislocations Resuscitation 90

EMDocs

MARCH 30, 2024

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. Intervertebral disks lie between vertebrae and act as shock absorbers. 10 Spinal Fracture Classification 11 There are multiple different classification systems available.

EMS 106

EMS Fractures Emergency Department Dislocations 106

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. The aim of this paper was to update and evaluate the criteria for sepsis and septic shock in children. Check out DFTB’s module on SIRS, Sepsis and Shock Module – Don’t Forget the Bubbles (dontforgetthebubbles.com) Why does it matter?

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Hospitals Sepsis Fractures Emergency Department 78

Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

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Shock EMS Head Injuries Pediatrics 52

Taming the SRU

JANUARY 10, 2024

Therefore this should remain high on the differential if a patient with history of SCAD presents with similar symptoms. della porta & Hajdu Alcohol withdrawal syndrome is a highly prevalent and morbid condition.

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EKG/ECG Shock Fractures Dislocations 94

EMDocs

OCTOBER 9, 2023

6 However, due to the vasoconstrictive effects, hydrocortisone may be useful in refractory shock. 12 Weight gain (up to 70%), development of cataracts (up to 15%), fractures (up to 12%), and neuropsychiatric events (up to 10%) are the most common adverse events. and cardiovascular disease (OR 1.2-2.56). 2015;116(6):960-975.

Basic Life Support 108

Basic Life Support CPR Fractures Emergency Department 108

ETM Course

JUNE 28, 2015

Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. Intra-Aortic Balloon Occlusion to Salvage Patients with Life-Threatening Hemorrhagic Shocks from Pelvic Fractures J Trauma 2010; 68(4): 942–8 (full article free text) 3. Shock 2014; 41(2): 130–7 12. Martinelli et al.

Hospitals 52

Hospitals Resuscitation Shock Military 52

RebelEM

APRIL 29, 2024

Studies have compared IO to peripheral intravenous (PIV) and central venous (CVC) access for resuscitation. Additional sites such as the sternal, iliac crest, distal femur, and distal tibia have also been utilized, and the use of these alternative sites should be considered based on the clinical presentation.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

EM Curious

MAY 27, 2015

THE SUPERIOR CERVICAL PLEXUS BLOCK [VIDEO]: AKA THE SCP Block , a useful nerve block technique for your ear laceration, central line placement and even a clavicle fracture. WHEN THE HEART FAILS CARDIOGENIC SHOCK: [BLOG]: We don't normally refer to the same blog twice in one week but these posts are just too good. Read on here.

EMS 52

EMS Shock EKG/ECG Pediatrics 52

PulmCCM

FEBRUARY 12, 2024

SCCM Guideline Update: Steroids for Community-Acquired Pneumonia, ARDS, Septic Shock Steroids are good medicine in the ICU, U.S. The 2017 SCCM/ESICM suggestion had been to use steroids for severe septic shock (requiring high-dose or multiple vasopressors). critical care professional societies agree.

Shock 52

Shock Administration Sepsis Fractures 52

EM SIM Cases

DECEMBER 15, 2023

Delayed (but still early) development of shock in a trauma patient has the same differential differential diagnosis as during the primary survey but the treating clinician needs to be vigilant to avoid early diagnostic closure based on lab and imaging results that have been completed.

Fractures 40

Fractures Resuscitation Academics Shock 40

ALiEM

OCTOBER 30, 2024

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Clinical impact: The patient’s DVT ultrasounds were negative.

Emergency Department 64

Emergency Department Operations Psychiatric EMS 64

EM Curious

JULY 1, 2015

Check out this video at the new CORE EM website regarding the tongue blade test to assist with your decision making.

EMS 52

EMS Ultrasounds EKG/ECG Fractures 52

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 91

CPR Burns Airway Management Wellness 91

Taming the SRU

JULY 31, 2024

However, believers in this superstition will perceive crazier shifts if the word is uttered so you probably shouldn’t say it, or use cautiously Full moons have no impact on ED, EMS, or HEMS volumes or acuity.

EKG/ECG 52

EKG/ECG Sepsis Documentation/Coding Stroke 52

PHEM Cast

JULY 14, 2016

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. Journal of Emergencies, Trauma, and Shock. Posterior column: facet joints, ligamentum flavum, the spinous processes and the interconnecting ligaments. 2014 Feb 11;7(4):251–5. J Neurotrauma.

Fractures 52

Fractures Hospitals Shock Research 52

Dr. Smith's ECG Blog

JULY 3, 2020

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. She sustained chest wall trauma, including rib fractures with serious bleeding. The patient was in shock on arrival in the ED — and multiple blood transfusions were needed.

Blood Transfusions 52

Blood Transfusions EKG/ECG Shock Fractures 52

Don't Forget the Bubbles

OCTOBER 10, 2024

The others, such as respiratory rate, heart rate, and decompensated shock, were excluded due to the presumed difficulty for non-healthcare professionals to assess them accurately. There is a significant misalignment between parent and professional scoring systems.

Emergency Department 75

Emergency Department Outcomes Research Operations 75

Pediatric Emergency Playbook

OCTOBER 1, 2015

The two most common complications of VP shunts are malfunction (due to obstruction, fracture, or kinking) or infection. He is in compensated shock. The most common causes are tumor, congenital anomalies, hemorrhage, or post-infectious obstructions. The Huber needle is not a resuscitative line.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

Taming the SRU

AUGUST 30, 2023

Identifying serious causes of back pain: cancer, infection, fracture. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Cleve Clin J Med. 2008 Aug;75(8):557-66. doi: 10.3949/ccjm.75.8.557. PMID: 18756836. Intensive Care Med. 2021 Nov;47(11):1181-1247. doi: 10.1007/s00134-021-06506-y.

Infectious Diseases 90

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 90

RebelEM

MAY 25, 2023

I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. Clinical Take Home Point: In patients with TBI and hypovolemic shock, target a SBP or MAP ≥90mmHg, but know this is based on limited evidence. vs SBP target <90mmHg which resulted in a mortality of 33.4%

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Resuscitation Fluid Resuscitation Head Injuries Shock 145

The Trauma Pro

SEPTEMBER 12, 2023

This work comes from the Shock Trauma Center in Baltimore and is a follow on to a paper published in the New England Journal of Medicine earlier this year. Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture. AAST 2023 Plenary Paper 3. N Engl J Med 2023; 388:203-213.

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Fractures Head Injuries Research Outcomes 113

ETM Course

AUGUST 25, 2016

As the longest bone in the body, when it breaks a fractured shaft of femur is a very painful and potentially life threatening injury. Image source There are two main reasons for use of traction splinting for fractured shaft of femur. The Fare-Tec CT-6 splint.

Fractures 52

Fractures Shock 52

Taming the SRU

OCTOBER 1, 2023

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. PPV, rib fractures, and decreased GCS were predictive of conservative management failure [23]. J Emerg Trauma Shock. 89% of patients with PTX under this cutoff were successfully observed. Ann Emerg Med. 1983;12(6):411-412. 2008;1(1):34-41.

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Fractures COPD Hospitals Emergency Department 97

PEMBlog

JUNE 5, 2024

The most common injuries seen in these younger patients are growth plate fractures and ligamentous injuries. You more often will see vertebral body and arch fractures as opposed to the growth plate fractures and ligamentous injuries in the younger children. You should also consider the possibility of quote unquote spinal shock.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Sensible Medicine

OCTOBER 21, 2024

CAST shocked the world of cardiology because suppression of rhythm disturbances after MI had been an accepted practice. Some things will surely hold up: PCI for MI, fixing displaced fractures, antibiotics for bacterial infection, and of course, caring and empathy. Anti-arrhythmic drugs killed 1 patient for every 29 we treated.

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Evidence-Based Practice Shock Fractures Outcomes 113

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient. link] (2019). J Burn Care Res.

Burns 97

Burns Fluid Resuscitation Resuscitation Poisoning 97

EB Medicine

NOVEMBER 1, 2018

Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Pay attention to the entry and exit sites, as the pathway of the shock is predictive of the potential for myocardial injury and arrhythmia. Their search yielded 477 articles, which was narrowed to 88 after initial review. That’s -- high.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

RebelEM

JANUARY 29, 2024

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47

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Stroke Outcomes Hospitals Administration 136

All Ohio EM

NOVEMBER 7, 2018

If they have 2 of the 4 criteria (shock index > 1, penetrating mechanism, positive FAST, pelvic fracture), go ahead and start the MTP early. While permissive hypotension is all the rage in hemorrhagic shock, head injured patients are the exception.

Leadership 40

Leadership CDC Shock Fractures 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. Brenner et al. J Pediatr Surg. 2013 Jun;48(6):1377-83. 2011 Dec;71(6):1869-72.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

ACEP Now

AUGUST 15, 2023

When I fracture-dislocated my ankle on Mount Rainier, there was no one to do the emergency reduction; so, aided by a rush of endorphins and the lack of swelling, I did it myself. This was shocking to me. On the other hand, being a do-it-yourself physician can come in handy. Many of these occurred at “world class” institutions.

Hospitals 52

Hospitals Documentation/Coding Fractures Dislocations 52

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. Neurologic and neuropsychological symptoms during the first year after an electric shock: results of a prospective multicenter study. Click to enlarge.) and five percent workplace-related deaths.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

ACEP Now

MAY 9, 2024

Classically associated with long bone fractures, a PFE may also occur when fat is injected or absorbed into a blood vessel during the reinjection phase of an AFT procedure. This should be suspected in patients with intraoperative cardiac arrest or shock. The most concerning complication of AFT is the pulmonary fat embolism (PFE).

Emergency Department 52

Emergency Department Operations Ultrasounds Shock 52