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Trick of the Trade: Gel-free ultrasound-guided peripheral IV technique

ALiEM

Ever finally step away from a busy resuscitation and someone stops you for peripheral IV access? You set up everything, have the patient positioned, and then notice there is no sterile ultrasound gel. The trick is to eliminate anything of poor acoustic impedance between the ultrasound probe and the patient’s skin.

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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

A bedside right upper quadrant ultrasound was performed, and the images are below. The following day, Interventional Radiology placed a percutaneous cholecystostomy tube. Patients should be resuscitated as deemed appropriate. He did not have abdominal tenderness on exam, specifically at Murphy’s or McBurney’s point.

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REBEL Cast Ep 118: The PROCOAG Trial – 4F-PCC for Trauma Patients?

RebelEM

Clinical Take Home Point: In adult patients with trauma at risk of massive transfusion, receiving standard trauma resuscitation management, the addition of 4F-PCC did not result in a decrease in blood product consumption over 24 hours compared to placebo. Severe acute traumatic coagulopathy = PT >1.5 to 3.33; P = 0.72 to 2.10; P = 0.03

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Perspectives – Aortic Laceration in a Rural Mississippi ED: A resident’s response

EMDocs

Remember that while mistakes in resuscitation are often dissected and analyzed, it is equally crucial to acknowledge and celebrate the moments of impeccable execution, where lives are saved and hope is restored. The radiology tech has his hand on a weak femoral pulse. Have you done an ultrasound yet?” She was calm. I’m coming.”

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Grand Rounds Recap 9.6.23

Taming the SRU

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90
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Episode 25: Tension pneumothorax 2

PHEM Cast

Pleural decompression and drainage during trauma reception and resuscitation. Radiologic evaluation of alternative sites for needle decompression of tension pneumothorax. Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Initial Management and Resuscitation of Severe Chest Trauma.

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

Resuscitative Pearls Our goal here is damage control. Otherwise, resuscitate, identify the bleeding source, and slow or stop the bleeding with blood products or surgery. How Children are Different in Trauma In adults, we speak of “permissive hypotension” (also called “balanced resuscitation” or “damage control resuscitation”).