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Did you make it to the research track at SOMSA this year? We made huge changes the past few years and the research track continues to grow. We now have 2 featured main stage presentations for the highest impact studies. Each session has 3 presentation blocks for the highest

Do sepsis bundles improve outcomes? There's been two relevant studies that came out recently. A systematic review with meta-analysis published last month evaluated the SEP-1 bundle. In the 17 studies included, the data was pretty mixed. Of the few studies that found benefit,

In this prospective observational study published this month of nearly 2900 patients in 18 ED's in Brazil, they found that: -Nearly 1/3 experienced a major adverse event with hemodynamic instability being the most common -Peri-intubation cardiac arrest occurred in 3.5% -The

In our Department of Defense 🇺🇸 funded study published 2 days ago assessing calcium levels upon arrival to the hospital after major trauma in South Africa, we found... -Over half were at least somewhat hypocalcemic (<1.15mmol/L) -Nearly 5% were severely hypocalcemic (<1.00mmol/L) -Those

For tension pneumo and needle decompression, NEW consensus recommendations published last week... Right-side = 7cm needle, 5th ICS mid-axillary or 2nd ICS mid-clavicular Left-side = same needle, 2nd ICS mid-clavicular only ***ERROR IN PREVIOUS POST*** In this systematic

Airway management is over after the time goes in. You have to have a plan to maintain it before you start. PFC Podcast 231: Emergence Link tree linktr.ee/Prolongedfield… Delta Development Team NorthAmericanRescue SOMA NGCM armyemdoc Jon Andrews Australian Tactical Medical Association

Does a BVM with PEEP valve confer better preoxygenation? In this population of healthy volunteers, it performed better than a BVM without PEEP and a NRB across all of the metrics. -53 volunteers, adults (normal, overweight, obese), and kids (6-12 years), which is great for

Is the Broselow tape reliable in children? The short answer is no. We analyzed >200,000 kids and found that nearly 1 in 7 the Broselow under-estimated kids weights by >20%. Of note, we are not the first authors to question the reliability of this tool. However, this is the

The best hospitals in the world are the ones that support the ER from 5pm to 9am the same way as from 9am to 5pm. Patients don't choose when to be sick or injured.

ACLS has it wrong... if you are reaching for adenosine, start with 12mg. In this retrospective review of >11,000 patients across 1350 EMS agencies, they compared 6mg versus 12mg of adenosine for PSVT, they found: -48% of those in the 6mg group required additional doses of

Posting tomorrow... Are training scars affecting medical care equally? PFC Podcast 223: Females in Combat Link tree linktr.ee/Prolongedfield… armyemdoc Delta Development Team NorthAmericanRescue NGCM Australian Tactical Medical Association Committee on TCCC

First of all, before diving into the rule, Ryan Weathers is without major injury. He played several more innings before leaving for what appears like a mild concussion. Now is a good time to review the Canadian Head CT rule, which I find helpful for reducing CT scan use after

This is really fascinating since we often think of ketamine as being hemodynamically neutral, however, ketamine itself is a direct myocardial depressant. This is usually offset by the adrenaline release it stimulates. -Overall, when compared to etomidate, there was a strong

Them: "Chat GPT will replace your doctor." ChatGPT:

New EAST guidelines were just released for trauma and pregnancy. When performing a resuscitative thoracotomy on a patient with a viable pregnancy, a resuscitative hysterotomy should also be performed. doi.org/10.1097/ta.000… #emergency #emergencymedicine #criticalcare #icu

New pedi-BIG guidelines are out and proposed… but these really need high-quality validation. kBIG 0 = Blunt TBI, no NAT, GCS 15, no AC, no intoxication, none or mildly displaced skull fracture, no ICH = no hospitalization, no repeat CT, no consultation kBIG 1 = Blunt TBI, no

Learn from the people who have been there and done that. John Dominguez explains the mentorship available at SOMSA or with SOMA membership. Link tree linktr.ee/Prolongedfield… armyemdoc SOMA NGCM NorthAmericanRescue Delta Development Team Australian Tactical Medical Association Jon Andrews

How often are we using airway adjuncts in the setting of ETI for trauma? The short answer is that we are (a) almost never using them, (b) almost never documenting them, or (c) a combination of both. We analyzed over 236,000 ED intubations for trauma and found: -NPAs were used