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Tactical Medicine News

ESCALA DE COMA DE GLASGOW. Novedades

by EMS Solutions International
Jun 08, 2022
Imagen HD  Escala de Coma de Glasgow  Dr. Ramon Reyes, MD  ¿Por qué es más fácil aceptar las teorías de conspiración que las científicas?Por...
Tactical Medicine News

REBEL Cast Ep109: The RePHILL Trial

Background: Currently, trauma resuscitation focuses on immediate hemorrhage control, resuscitation with blood products (i.e. PRBCs, plasma) and ear...
Tactical Medicine News

SAEM Clinical Image Series: Snowball Effects

A 13-year-old boy presented to the emergency department with complaints of a right eye injury. Five hours prior to arrival, he was struck directly ...
Tactical Medicine News

EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glauc...
Tactical Medicine News

PECARN Blunt Abdominal Trauma: Is A Clinical Decision Instrument Better Than Clinician Gestalt?

Background: Unintentional injuries remain the leading cause of mortality in children. While traumatic brain injuries and thoracic traumas are the t...
Tactical Medicine News

REBEL Core Cast 70.0 – Open Fractures

Take Home Points: Prioritize ABCs and systematic evaluation of the trauma patient with an open fracture as one third of these patients have multip...
Tactical Medicine News

SINDROME DE APLASTAMIENTO

  SINDROME DE APLASTAMIENTO Torniquetes en trauma por aplastamiento (crush injuries) by JORGE INSIGNARES, MD https://www.linkedin.com/in/jor...
Tactical Medicine News

EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic mega...
Tactical Medicine News

IDEA Series: DIY Suture Kit Station

In medical training there is a lack of simulation based activities including procedural labs. Suturing is a critical skill for trainees to master i...
Tactical Medicine News

12th Man Emergency Playbook / MANUAL TACTICO PARA EMERGENCIAS. 12th MAN ¿Cómo sobrevivir un tiroteo. Versión en Español?

12th Man Emergency Playbook PDF Grupo en TELEGRAM de Emergenciashttps://t.me/joinchat/GRsTvEHYjNLP8yc6gPXQ9Q ¿Por qué es más fácil aceptar las ...
Tactical Medicine News

Ep 160 Geriatric Trauma 2 Rib Fractures, Pelvic Fractures, Prognostication, Elder Abuse, Discharge Planning

In Geriatric Trauma Part 2 we answer questions such as: what are the indications for transfer to a trauma center in older patients with rib fractur...
Tactical Medicine News

EMRad: Can’t Miss Adult Traumatic Hip and Pelvis Injuries

  Have you ever been working a shift at 3 AM and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with th...
Tactical Medicine News

EMRad: Radiologic Approach to the Traumatic Hip/Pelvis

  This is EMRad, a series aimed at providing “just in time” approaches to commonly ordered radiology studies in the emergency department [1]. When ...
Tactical Medicine News

Ep 159 Geriatric Trauma Part 1: The Under-Triaging Problem, Resuscitation, Airway, Head and C-spine Imaging, Clearing the C-spine

Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series o...
Tactical Medicine News

EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines

In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for thera...
Tactical Medicine News

SplintER Series: One Big Bounce

  A 5-year-old boy presents with right leg pain and a limp. His parents report it started after he was bouncing on the trampoline with his older s...
Tactical Medicine News

Journal Jam 18 The Evidence for TXA – Should Tranexamic Acid Be Routine Therapy in the Bleeding Patient?

With the help of a special guest, EBM guru Dr. Ken Milne of the The SGEM, Anton and Justin look at all the various potential indications for TXA an...
Tactical Medicine News

REBEL Core Cast 58.0 – Wound Care IV – Future Directions

REBEL Core Cast 58.0 – Wound Care IV Click here for Direct Download of Podcast The post REBEL Core Cast 58.0 – Wound Care IV – Future Directions ap...
Tactical Medicine News

SplintER Series: Neck Pain Tears Me Up

A 40-year-old male presents with neck pain after a high-speed head-on motor vehicle collision. You obtain cervical spine x-rays (Figure 1). Figu...
Tactical Medicine News

EMRad: Can’t Miss Pediatric Elbow Injuries

  Have you ever been working a shift at 3 am and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with th...
Tactical Medicine News

EMRad: Radiologic Approach to the Pediatric Traumatic Elbow X-ray

This is EMRad, a series aimed at providing “just in time” approaches to commonly ordered radiology studies in the emergency department [1]. When ap...
Tactical Medicine News

POCUS Cases 9 Abdominal Free Fluid in Trauma

Rob Simard explains how to incorporate abdominal POCUS into your assessment of the trauma patient, he reviews the literature on accuracy of POCUS f...
Tactical Medicine News

Ep 152 The 7 Ts of Massive Hemorrhage Protocols

Dr. Jeannie Callum, Dr. Andrew Petrosoniak and Dr. Barbara Haas join Anton in answering the questions: How do you decide when to activate the MHP? ...
Tactical Medicine News

PEM Pearls: To Scan or Not to Scan? CT Abdomen in Children with Blunt Torso Trauma

An 18-month-old female with no past medical history is brought in by ambulance after a motor vehicle collision (MVC) at highway speed, restrained i...
Tactical Medicine News

REBEL Cast Ep94: The ITACTIC Trial – Viscoelastic Hemostatic Assay Augmented Protocols

Background: Current trauma resuscitation prioritizes control of bleeding and uses massive transfusion protocols to prevent and treat coagulopathy. ...
Tactical Medicine News

REBEL Core Cast 46.0 – Resuscitative Hysterotomy

Take Home Points This is a resuscitative hysterotomy – focus is on saving the mother first. Delivering the fetus can improve venous return thus in...
Tactical Medicine News

SAEM Clinical Image Series: Eye Pain After Assault

A 33-year-old male presents with intermittent blurry vision and left eye pain for 3 months, and a left-sided orbital headache for 1 day. He repor...
Tactical Medicine News

IM Administration of Tranexamic Acid

Background: We have covered tranexamic acid (TXA) on this blog in several posts. Its use has been studied for everything that bleeds from abnormal ...
Tactical Medicine News

SAEM Clinical Images: Man vs Snow Blower

A 28-year-old man presents to the emergency department after a snow blower accident while at work. The patient was performing maintenance and he ...
Tactical Medicine News

SAEM Clinical Image Series: An Incidental Finding

A middle-aged man presented after a motor vehicle collision with a logging truck at 55 miles per hour with low back pain. A computed tomography s...
Tactical Medicine News

EM Quick Hits 23 – Clinical Probability Adjusted D-dimer, ARDS Part 2, Pharyngitis Mimics, Barotrauma, Vertigo, CPR Gender-Based Differences

In this month's EM Quick Hits podcast we have Salim Rezaie on clinical probability adjusted D-dimer for pulmonary embolism, Bourke Tillmann on ARDS...
Tactical Medicine News

Should we Rubber STAAMP Prehospital TXA?

Background: It almost seems that when it comes to the use of the antifibrinolytic agent tranexamic acid (TXA) in trauma, one argument has just been...
Tactical Medicine News

SAEM Clinical Image Series: Man vs Pneumatic Nail Gun

A 40-year-old male presents with injury to his left hand by a nail gun. While at work, the patient accidentally shot himself with a nail gun. The...
Tactical Medicine News

Trauma/Burn Clinical Guidelines. A Quick Guide for the Management of Trauma/Burn Disasters for Emergency Department Personnel Rev. August 2013

Trauma/Burn Clinical Guidelines. A Quick Guide for the Management of Trauma/Burn Disasters for Emergency Department Personnel Rev. August 2013 ...
Tactical Medicine News

EM Quick Hits 22 Postpartum Hemorrhage, Phenobarbital in Status Epilepticus, Managed Alcohol Programs, Traumatic Cardiac Arrest, Cholangitis, ED Approach to ARDS

In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepti...
Tactical Medicine News

Traumatic Cardiac Arrest – Can we Find Prognostic Factors that Predict Survival?

Background: Trauma remains the leading cause of death in the United States for those aged less than 45 years old. Those who arrest from hemorrhage ...
Tactical Medicine News

IDEA Series: Homemade Escharotomy Kit

Although escharotomy is rarely performed by emergency physicians during the initial management of burns, it is a life and limb-sparing skill impor...
Tactical Medicine News

EMRad: Radiologic Approach to the Traumatic Knee

Radiology teaching during medical school is variable, ranging from informal teaching to required clerkships [1].​​ Many of us likely received an a...
Tactical Medicine News

EMRad: Can’t Miss Adult Knee Injuries

Figure 1: Normal AP knee x-ray. Case courtesy of Dr Andrew Dixon, Radiopaedia.org, annotations by Stephen Villa MD. Have you ever been working a...
Tactical Medicine News

REBEL Core Cast 34.0 – Chest Tubes

Take Home Points Small to Moderate Size Pneumothorax – consider managing conservatively with observation (need to make sure consulting services on...
Tactical Medicine News

EMRad: Can’t Miss Adult Shoulder Injuries

Have you ever been working a shift at 3 am and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with the...
Tactical Medicine News

EMRad: Radiologic Approach to the Traumatic Shoulder

This is EMRad, a series aimed at providing “just in time” approaches to commonly ordered radiology studies in the emergency department [1]. When a...
Tactical Medicine News

IDEA series: The Bleeding Arm Tourniquet Simulation

Education in emergency response to trauma is a global health priority [1]. Mortality rates are nearly twice as high in patients with trauma in low...
Tactical Medicine News

EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases ...
Tactical Medicine News

ALiEM AIR | Trauma 2020 Module

Welcome to the AIR Trauma Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR T...
Tactical Medicine News

EMRad: Can’t Miss Adult Ankle and Foot Injuries

Have you ever been working at 3am and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with their PCP in...
Tactical Medicine News

EMRad: Approach to the Traumatic Foot X-ray

Radiology teaching during medical school is variable, ranging from informal teaching to required clerkships [1].​​ Many of us likely received an a...
Tactical Medicine News

EMRad: Radiologic Approach to the Traumatic Ankle

Radiology teaching during medical school is variable, ranging from informal teaching to required clerkships [1].​​ Many of us likely received an ap...
Tactical Medicine News

Crit Cases 14 Bronchopleural Fistula Management

Dr. Mike Misch guides us through this part 2 of a blunt chest trauma case with a presumed bronchopulmonary fistula requiring 3 chest tubes and desc...
Tactical Medicine News

CritCases 13 Shock and Hypoxia in Blunt Chest Trauma

In this CritCases blog, Shock and Hypoxia in Blunt Chest Trauma, a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, Mi...
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