Guideline Review: EAST Blunt Cerebrovascular Injury

Blunt Cerebrovascular Injury (BCVI) can be difficult to diagnose and potentially devastating to miss because of the risk of a potential ischemic stroke. The most recent (2010) Eastern Association for the Surgery of Trauma (EAST) guidelines reviewed 68 journal publications to create the following recommendations based on the best available evidence.¹ We summarize the imaging and management recommendations most pertinent to the ED as an infographic for quick and easy reference.^1,2 Of note: an isolated neck seat belt sign is NOT an indication for imaging!

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By Kelly Wong, MD|2021-01-01T23:49:02-08:00Mar 4, 2019|Guideline Review, Trauma|

The newest installment in the popular ALiEMU Capsules series is live. This module focuses on the critical care topic of intracranial pressure management. Specific topics include hyperosmolar therapy with mannitol versus hypertonic saline and blood pressure management. Go to the ALiEMU Capsule and take the quiz for your Capsules certificate.

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By Michelle Lin, MD|2019-03-27T08:21:40-07:00Feb 27, 2019|ALiEMU, Capsules, Neurology, Tox & Medications|

ACMT Toxicology Visual Pearls: Don’t Go Breaking My Heart

The following ultrasound video was obtained in a hypotensive 23 year-old man with a history of drug abuse. What drug of abuse when used chronically is most likely to lead to this ultrasound finding in an otherwise healthy patient?

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By Jennifer Pallansch, MD|2020-01-02T17:30:28-08:00Feb 18, 2019|ACMT Visual Pearls, Tox & Medications, Ultrasound|

End-tidal CO2 (EtCO2) monitoring is a measure of metabolism, perfusion, and ventilation. In the ED, we typically think of a EtCO2 as a marker of perfusion and ventilation. However, EtCO2 is an extremely powerful surrogate for endotracheal tube (ETT) Position, CPR Quality, Return of spontaneous circulation (ROSC), Strategies for treatment, and Termination (of CPR). Do these letters look familiar? They should! In this post we take a deep dive into each of these potential uses of EtCO2 in the ED.

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By Jennifer Rabjohns, MD|2019-02-19T18:37:10-08:00Feb 6, 2019|Critical Care/ Resus, Pulmonary|

A 28-year-old G4P3 at 41 weeks presents to the ED via EMS. She is in active labor. On exam, a neonatal head is visible. Two minutes later, you deliver a healthy vigorous baby boy and hand him to your colleague. You notice persistent bleeding from her vaginal canal. Her tachycardia climbs to 110 bpm and her latest blood pressure is 78/48 mm Hg. We review postpartum hemorrhage (PPH) and the 4 T’s – a memory aid to help ED providers manage this life-threatening presentation.

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By Sarah Sanders, MD|2019-03-29T19:00:18-07:00Feb 6, 2019|Critical Care/ Resus, Ob/Gyn|

Welcome to the Non-ACS Cardiovascular Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related to non-acs cardiovascular emergencies. 5 blog posts within the past 12 months (as of September 2018) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 2 AIR and 3 Honorable Mentions. We recommend programs give 2.5 hours (about 30 minutes per article) of III credit for this module.

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By Chris Belcher, MD|2020-09-04T11:13:21-07:00Feb 4, 2019|ALiEMU, Approved Instructional Resources (AIR series), Cardiovascular|

The Problem

Cricothyroidotomy is an emergency life-saving procedure that involves surgical placement of a tube through the cricothyroid membrane in order to establish a patent airway for oxygenation and ventilation. The indications for this procedure are when traditional means, such as orotracheal or nasotracheal intubation, are contraindicated or have failed during attempts to establish an emergency airway.^1,2 It is a critical skill for emergency physicians but the declining rate of this procedure has resulted in decreased exposure during training.^3,4

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By Samuel Garcia|2019-03-28T21:25:08-07:00Feb 3, 2019|Critical Care/ Resus, IDEA series|