Oct 31, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- In urban settings, it is becoming more common for police to transport critical patients from scene to hospital
- A 2022 multicenter observational study compared mortality rates in patients with penetrating injury to torso and/or proximal extremity when transported by EMS...
Oct 25, 2022
Contributor: Travis Barlock, MD
Educational Pearls:
- Catheter related blood infections were thought to be caused by skin flora seeding the catheter. Thus, significant effort is applied to sterility and skin preparation.
- However, studies have shown that bacteria growing on the tip of the catheter is not consistent with...
Oct 24, 2022
Contributor: Jared Scott, MD
Educational Pearls:
- Immediate resuscitative thoracotomy can be performed in the ED to gain rapid access to the thoracic cavity in cases of traumatic cardiac arrest
- Western Trauma Association Society Criteria for ED thoracotomy
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- Blunt trauma + <10 min of prehospital CPR
- Penetrating trauma...
Oct 18, 2022
Contributor: Aaron Lessen, MD
Educational Pearls:
- Lateral Cutaneous Femoral Nerve Entrapment Syndrome, also known as Meralgia Paresthetica, results from entrapment of the lateral cutaneous femoral nerve, often as it exits the pelvis under the inguinal ligament.
- Meralgia Paresthetica is associated with obesity,...
Oct 17, 2022
Contributor: Travis Barlock, MD
Educational Pearls:
- An EKG should be obtained quickly after a syncopal event to identify possible life-threatening causes such as ischemia and arrhythmia
- WOBBLER is a good mnemonic for remembering additional EKG findings to look for in syncope
- Wolff-Parkinson-White (WPW)
- Check for...