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The SCRAP Rule: Indications for chest CT in blunt trauma
via foamem

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UPDATE: One of three being treated after Tuesday’s shooting released from hospital
via wsls

(UPDATE 3:31 p.m.) – Two of the three people being treated at Carilion Clinic remain at the hospital as of Tuesday afternoon. The third person has been released. One patient is in serious condition, while the other is in good condition. ROANOKE (WSLS...
Vascular Injury in Orthopedic Trauma
via nmortho

Vascular injury associated with orthopedic trauma is a potentially limb- and life-threatening event that represents a challenge for every orthopedic surgeon and clinician involved in the primary care of trauma patients. Whether encountered in the emergency...
PLAB 1 MCQ's 701-800
via medicaltalk

@DrVijay wrote: A 17yo boy while playing football got a kick and now he is complaining of severe pain and swelling of the left side of his scrotum. What inv is the most appropriate to dx? a. Needle aspiration of scrotum b. US scrotum c. MSU d. Surgical...
US4TW Case: 30M with Blunt Abdominal Trauma
via academiclifeinem.blogspot

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In today’s case...

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Your new angiocath will not relieve tension pneumothorax

Conventional teaching for treatment of confirmed or suspected tension pneumothorax in an unstable patient is immediate chest decompression with a large bore angiocatheter [1]. New generation angiocaths feature blood control technology, which allows a...
Avoid Alcohol Withdrawal Admissions

Alcoholic patients are predisposed to many dangerous conditions and present an array of management challenges for emergency providers, however at many centers, some of these patients present with uncomplicated alcohol intoxication and end up admitted...
Face Mask Capnography

Guest post by Terrance McGovern End-tidal capnography is frequently used in the ED for monitoring patients at risk for hypoventilation. Some departments stock the luxury oral/nasal sampling devices, but many of us have to make due with a nasal-only...
The Causes of Cardiac Arrest

It has been repeatedly demonstrated that the use of drugs empirically does not work in cardiac arrest. Despite this, ACLS often feels like an algorithmic march down a menu of pharmaceuticals, one drug after the next, hold compressions, ok still asystole...
Pain, Compassion, Addiction, Malingering: How To Use Opioids (and how to not use opioids)

Lecture is 35 minutes, then questions for 20 minutes. On Vimeo. Opioids are extraordinary agents that have been used for millennia for the relief of pain and suffering; however, the history of opioids is also one of abuse and addiction. In the US, we...

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Rule Out Ectopic in the Emergency Department – emupdates

Key Points In hemodynamically stable patients, the history and physical are insufficiently accurate to either rule in or rule out ectopic pregnancy. The threshold should be very low to enter a pat…