AIR EMBOLISM – CORE EM
- Air embolism is a rare but potentially fatal complication of central line placement and specific surgical procedures
- Recognition can be difficult as initial signs and symptoms are non-specific. Consider the diagnosis in any patient with decompensation after placement of a central line
- Treatment should focus on supportive care, air embolism aspiration when feasible and consultation for hyperbaric and cardiopulmonary bypass
MANAGING UPPER GI BLEEDING IN THE ED – ST EMLYNS
A great podcast from the team at St Emlyns.
This was a huge prospective study that found CT c-spine, “sensitivity and specificity for clinically significant injury was 98.5% and 91.0% with a NPV of 99.97%. There were 3 (0.03%) false negative CT scans that missed a clinically significant injury, all had a focal neurologic abnormality on their index clinical examination consistent with central cord syndrome and 2 of 3 had severe degenerative disease.”