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emDOCs Podcast – Episode 144: Post Bariatric Surgery Complications Part 1

Today on the emDOCs cast we cover Part 1 on post bariatric surgery complications, with a look at the individual surgeries and an approach.

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    Articles

    Abdominal Trauma: Is There Anything We Can Be Doing Better?

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    A power review of the literature on management of blunt and penetrating abdominal trauma
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    Pediatric Trauma: Pearls and Pitfalls

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    Featured on #FOAMED REVIEW 34TH EDITION – Thank you to Michael Macias from emCurious for the shout out! Featured on the LITFL Review #169 – Thanks to Simon Laing (@HEFTEMCAST) and the LITFL Review group for the shout out! Authors: Kirsten Morrissey, MD & Hilary E. Fairbrother, MD, MPH, FACEP

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    • practice updates

    Lactate Level in Kids

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    We see that, like in adults, an elevated lactate can help identify those patients who are potentially sicker than others, although not perfectly. It is only helpful if it alerts you to severe illness presenting subtly or helps direct your resuscitation efforts… which, again, require the astute clinician to determine.
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    • clinical cases, FOAMED

    Resuscitation of the Pregnant Patient: Pearls and Pitfalls

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    A review of how to resuscitate a pregnant patient in the midst of medical catastrophe and how to rapidly estimate gestational age
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    Ultrasound-Guided Thoracentesis

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    When a young female patient threatens to 'knock you out' for exposing her to CT radiation, you are left with only one option for visualizing and extracting a pleural effusion.
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    • practice updates

    Resuscitation of the Pregnant Trauma Patient – Pearls and Pitfalls

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    While on shift at a busy urban emergency department, you are notified by EMS dispatch of an ambulance en-route with a patient involved in a high-speed MVC. They report she is a female, in her 20s or 30s, who is obviously gravid, but of unknown gestational age. According to EMS
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    SVT Treatment Options

    If unstable -> cardioversion; may attempt modified Valsalva while prepping for cardioversion

     

    Stable -> modified Valsalva while prepping meds: adenosine, CCB, or BB

     

    CCB has similar efficacy and fewer side effects compared to adenosine

     

    If using adenosine, go with 12 mg; tell patient about expected symptoms (and that means it’s working!)

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