EM Grand Rounds | September 6, 2023

00:00 Pre-show
09:52 Part 1
40:46 Part 2
#emrap #emergencymedicine #urgentcare #meded
✔ Subscribe today: www.emrap.org/...
✔ Newsletter sign up: www.emrap.org/...
✔ Donate to our non-profit, EM:RAP Global Outreach: www.emrapgo.org/
EM:RAP on Social Media:
► Follow on Twitter: / emrap_tweets
► Like on Facebook: / emergencymedicine
► Follow on Instagram: www.instagram....
► Subscribe on TH-cam: / emrapmedical
Visit www.emrap.org/ for all your Emergency Medicine education!
Segment - Post ROSC CT Discussion
Sources
Branch KHR et al. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study. Resus 2023. PMID: 37019352
Viniol S, Thomas RP, König AM, Betz S, Mahnken AH. Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest. Emerg Radiol. 2020;27(1):23-29.
Segment - Central Line Discussion
Sources
Wang Q, et al. Static Ultrasound Guidance VS. Anatomical Landmarks for Subclavian Vein Puncture in the Intensive Care Unit: A Pilot Randomized Controlled Study. J Emerg Med. Sep 22 2020; PMID: 32978029
Patrick SP, Tijunelis MA, Johnson S, Herbert ME. Supraclavicular subclavian vein catheterization: the forgotten central line. West J Emerg Med. 2009 May;10(2):110-4. PMID: 19561831; PMCID: PMC2691520.
Pancaro C, Shah N, Pasma W, Saager L, Cassidy R, van Klei W, Kooij F, Vittali D, Hollmann MW, Kheterpal S, Lirk P. Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study. Anesth Analg. 2020 Oct;131(4):1060-1065. doi: 10.1213/ANE.0000000000004445. PMID: 32925324.
Segment - Abnormal Vitals Signs in Adults at Discharge
Sources
EM:RAP Piece: www.emrap.org/...
Kefer MP, Hargarten SW, Jentzen. Death after discharge from the emergency department. J. Ann Emerg Med. 1994;24:1102-1107. PMID: 7978591
Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated death after discharge home from the emergency department. Ann Emerg Med. 2007;49(6):735-745. PMID: 17210204
Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. CJEM. 2021;23(6):767-771. PMID: 34586622
Segment - Brief Cases: Ethics Edition
Sources
Burlew CC, Moore EE, Moore FA, Coimbra R, McIntyre RC Jr, Davis JW, Sperry J, Biffl WL. Western Trauma Association critical decisions in trauma: resuscitative thoracotomy. J Trauma Acute Care Surg. 2012 Dec;73(6):1359-63. doi: 10.1097/TA.0b013e318270d2df. PMID: 23188227.
Cantor MD, Braddock III CH, Derse AR, et al. Do-Not-Resuscitate Orders and Medical Futility. Arch Intern Med. 2003;163(22):2689-2694. doi:10.1001/archinte.163.22.2689