Mastodawn

EM@3AM: Systematic Approach to Massive Hemorrhage and Nuances in Special Patient Populations - emDocs
https://www.emdocs.net/em3am-systematic-approach-to-massive-hemorrhage-and-nuances-in-special-patient-populations/

#hemorrhage #massivehemorrhage #EMdoc #emdocs #FOAMed #FOAMcc #FOAMresus #emergencyroom #emergencydepartment

EM@3AM: Systematic Approach to Massive Hemorrhage and Nuances in Special Patient Populations - emDocs

A 32-year-old female presents with chief complaint of “abdominal pain”. Her pain started 8 hours ago and became severe within the last 30 minutes. Initial vitals demonstrate a blood pressure of 88/48 mm Hg, HR 122 bpm, Temp 36.4 C, and 20 respirations/min. On your physical exam she has tenderness to palpation in the left lower pelvic region with rebound tenderness. You note her hypotension and perform RUSH exam. During your exam you note free fluid in the rectouterine pouch. As you finish your exam, she is now pale, clammy, and minimally responsive to pain with repeat blood pressure 64/33 mm Hg. What is the systematic approach to a patient with signs of massive hemorrhage?

emDocs

pietro87 Aug 26, 2025

https://pca.st/podcast/a3e3f0b0-1f33-013e-e07d-0e1ab590d6db

Great shout out to this recently discovered #emergencymedicine podcast #FOAMed #FOAMcc #FOAMresus

Emerge in EM

Emerge in EM is a dynamic podcast dedicated to exploring the cutting edge of Emergency Medicine Education, Resuscitation, and Global health Empowerment. Each episode brings together leading experts, frontline healthcare professionals, and change-makers from around the world to discuss the latest advancements, case studies, and innovations shaping the field of EM. Whether you're a seasoned emergency physician, an aspiring medical student, or a global health enthusiast, Emerge in EM delivers insightful conversations and practical knowledge to elevate your skills and broaden your understanding of life-saving care. Tune in for in-depth discussions that not only address clinical excellence but also emphasize the global movement towards equity and empowerment in emergency medicine.

Pocket Casts

pietro87 Oct 12, 2024

https://thesgem.com/2024/10/sgem455-harmony-5000-prehospital-detection-of-large-vessel-occlusion-strokes/

"SGEM Bottom Line: Early stroke identification is important but can be difficult in the pre-hospital setting even with the existing tools"
Via @thesgem

As ED doc involved also in pre-hospital emergency shifts, I totally agree.
Still searching for a reliable "EKG of the brain".

#FOAMed #emergencydepartment #PrehospitalCare #FOAMcc #FOAMresus #stroke #emergencydocs

SGEM#455: Harmony 5000 – Prehospital Detection of Large Vessel Occlusion Strokes - The Skeptics Guide to Emergency Medicine

Date: October 2, 2024 Reference: Paxton et al. Headpulse measurement can reliably identify large-vessel occlusion stroke in prehospital suspected stroke patients: Results from the EPISODE-PS-COVID study. AEM Sept 2024 Guest Skeptic: Dr. Lauren Westafer an Assistant Professor in the Department of Emergency Medicine at the UMass Chan Medical School – Baystate. She is the co-founder of FOAMcast and a pulmonary

The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em

pietro87 Jul 29, 2024

https://first10em.com/gestalt-is-better-than-decision-tools-for-identifying-sepsis/

Gestalt is better than decision tools for sepsis... like to say that tools are just tools, not thinking brain?

#FOAMed #FOAMcc #FOAMresus #CriticalCare #emergencymedicine #emergencydocs

Gestalt is better than decision tools for identifying sepsis - First10EM

Gestalt is better than decision rules for identifying sepsis in the emergency department (obviously, to anyone who reads EBM)

First10EM

pietro87 Jul 3, 2024

https://emcrit.org/pulmcrit/bsi/

#EMCrit #PulmCrit #FOAMed #FOAMcc #FOAMresus #FOAMresp #FOAMEDcc #emergencymedicine #emergencydepartment

PulmCrit: Bilevel Sequence Intubation (BSI) - The new standard

introduction Bilevel Sequence Intubation (BSI) refers to initiation of noninvasive bilevel positive pressure ventilation with a backup rate prior to

EMCrit Project

pietro87 Jun 29, 2024

https://youtube.com/watch?v=CYp1oF1V9jc&si=eefaT-Be6lnnm92X

#FOAMed #FOAMcc #FOAMresus #emergencymedicine #emergencyphysicians #emergencydepartment #FoamEm #FOAMEDcc

Post-ROSC Care

YouTube

pietro87 Jun 25, 2024

https://first10em.com/the-pediatric-cant-intubate-cant-oxygenate-scenario-use-a-knife/

We needed this review. Just this, nothing less nothing more, just this.

#emergencymedicine #emergencyphysicians #FOAMed #FOAMcc #FOAMresus #FOAMres #FOAMpeds #emergencydepartment #LifeInTheFastLane

The pediatric can't intubate can't oxygenate scenario (Use a knife) - First10EM

A review of the evidence for the pediatric can't intubate can't oxygenate scenario. Bottom line: use a knife not a needle.

First10EM

pietro87 Jun 22, 2024

https://first10em.com/bipap-for-preoxygenation-the-preoxi-trial/

BiPAP for preoxygenation (the PREOXI trial)

#FOAMed #FOAMcc #FOAMresus #emergencydepartment #emergencycare #emergencydocs

BiPAP for preoxygenation (the PREOXI trial) - First10EM

A critical appraisal of the PREOXI trial, a multicenter RCT that remonstrates reduced peri-intubation hypoxia with NIPPV

First10EM

pietro87 Apr 30, 2024

https://www.emdocs.net/pocus-findings-of-hemodynamically-unstable-pe-with-cardiac-arrest/

"POCUS findings of RV strain may not be visualized with POCUS echocardiography until more than 50% of the pulmonary artery outflow track is obstructed."

Is this concept clear to your trainees/ residents? And to your colleagues as well? I'm hearing too often "no signs of PE on bedside echo": that's an element to consider, yes, but that's not a definitive test of exclusion..

#emergencymedicine #FOAMed #FOAMresus #EDdocs #emergencydepartments