Revision Resources

FOAMed Highlights #2

September 16, 2016

AIR EMBOLISM – CORE EM

  • Air embolism is a rare but potentially fatal complication of central line placement and specific surgical proceduresherz
  • 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.

malt_4

 

 

 

 

 


 

CT C-SPINE DETECTS INJURIES – NO MRI NEEDED

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.”

cervical_xray_lateral_view

 

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