Tactical Medicine News Blog

This Best Case Ever elucidates the practical challenges of working up pregnant patients in the ED with a suspicion of pulmonary embolism. Since this recording, the first ever multi-center prospective outcome study looking at the pulmonary embolism workup in pregnancy was published in the Annals of Internal Medicine. A suggested algorithm and analysis of the study by Lauren Westafer are provided in these show notes.... The post BCE 77 Pulmonary Embolism Workup in Pregnancy appeared first on Emergency Medicine Cases.

This Best Case Ever elucidates the practical challenges of working up pregnant patients in the ED with a suspicion of pulmonary embolism. Since this recording, the first ever multi-center prospective outcome study looking at the pulmonary embolism workup in pregnancy was published in the Annals of Internal Medicine. A suggested algorithm and analysis of the study by Lauren Westafer are provided in these show notes.... The post BCE 77 Pulmonary Embolism Workup in Pregnancy appeared first on Emergency Medicine Cases.

In this EMU 65 video, Dr. Emily Austin discusses appropriate circumstances where you might consider gastric lavage, critical bupropion overdose and when to use intralipid emulsion therapy, types of inhalant exposures, and more... The post EMU 365 Toxicology Cases from the ED appeared first on Emergency Medicine Cases.

Background: Care of trauma patients with severe bleeding has advanced in recent years with a focus on damage control resuscitation which includes permissive hypotension, hemostatic resuscitation (blood component resuscitation), and hemorrhage control. Minimizing crystalloids in favor of blood component-based resuscitation in the prehospital setting has the potential to reduce downstream complications by intervening closer to the time of injury before the development of coagulopathy, irreversible shock, and inflammatory response.  There is a paucity of high level evidence showing the efficacy and safety of plasma transfusions in the prehospital setting including retrospective studies which suffered from survivor bias (patients had to survive long enough to receive plasma) and small randomized clinical trials not showing survival benefit.  This has led to the publication of two randomized controlled trials: COMBAT and PAMPer.

Background: Keeping up to date with the current literature is no small task.  You may say it is like drinking from a firehose when you’re thirsty;  it can be painful and, at the end, does it really quench our thirst?  The constant influx of new published research makes it difficult to stay current with the latest and greatest (information overload).  At REBEL EM we have been committed to critical appraisal of current research with application at the bedside to improve patient care.  In this post, I hope to give everyone a step by step guide on how to keep up to date in an efficient manner.