Remove Fractures Remove Shock Remove Stroke
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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

13 That is to say nothing of the effect that the type and response to shock has on the individual patients involved in these studies. just be careful with pelvic fractures or any femoral arterial punctures/ devices. M-mode measurements are prone to error because of a cylindrical effect. 17 Of course, do not forget your physical exam.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

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 in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 133
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Grand Rounds Recap 7.24.24

Taming the SRU

Barometric pressure, humidity, and temperature changes may influence stroke and fall incidence (especially in elderly patients with cardiovascular risk factors). Nice people are not more likely to get cancer. Black clouds don’t exist (but I still sort of think they do).

EKG/ECG 52
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

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).

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Episode 22 - Electrical Injuries in the Emergency Department An Evidence-Based Review

EB Medicine

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.

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Diagnostics: Inflammatory Markers

Taming the SRU

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.

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Pediatric Pain

Pediatric Emergency Playbook

Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute soft tissue injury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. Pediatr Clin North Am. 2007 Oct;54(5):645-72.