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Introduction – To Pack or Not to Pack?

Mel Herbert, MD MBBS FAAEM and Mizuho Spangler, DO
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20:35
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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03:34

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EM:RAP 2016 September Written Summary 655 KB - PDF

This month we line up a series of mind blowing talks.  From thinking about thinking to giving hypertonic saline to runners, from tricks about how to put chest tubes in obese patients to reducing the human right violation that is an NG tube.  Mel Herbert makes a return to the main show with Miz Spangler while Rob and Anand get a much deserved rest.  It is going to be big, large and huge and oh yes, bundt cake in nature!

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Douglas Y., M.D. -

I have used ocular ULS a few times and have picked up some detachments and hemorrhages and it is no doubt more sensitive for retinal detachment than direct fundoscopy. However in discussion with the retinal specialist that I have seen (for my own eye issues ), ULS will miss retinal tears. This would be the time to catch them before they detach. So I I think any new onset flashers still will need urgent consultor f/u with ophthalmology regardless of ULS findings

Michael L. -

Using US for retinal tears for ~ 13 years. The emergent component is sorting out which retinal tears have macula "on or off". True ocular emergencies have macula still attached just lateral to the optic nerve. Call to Ophthalmologist immediately to repair before macula detaches and fine detailed vision lost ( macula-many cones, few rods). When the macula is not spared, it is more of an urgency and can be seen in the next few days. Gladly send diagrams and images that reveal ->Retinal detachment (RD) with and without macula sparing. Typical RD shows prominent, continuous linear density ( hyperechoic) rising from the fundus. Depending on the severity of the RD...visible as a thin hyperechoic peripheral convexity or bright squiggle lines. In all but traumatic penetrating injuries, the retina remains tethered to the Ora serrata and the Optic nerve.

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The Return Full episode audio for MD edition 257:32 min - 358 MB - M4AEM:RAP 2016 September Canadian Edition Canadian 31:48 min - 44 MB - MP3EM:RAP 2016 September Aussie Edition Australian 25:03 min - 34 MB - MP3EM:RAP 2016 September German Edition Deutsche 115:24 min - 159 MB - MP3EM:RAP 2016 September Spanish Edition Español 78:56 min - 108 MB - MP3EM:RAP 2016 September French Edition Français 46:51 min - 64 MB - MP3EM:RAP 2016 September Board Review Answers 197 KB - PDFEM:RAP 2016 September Board Review Questions 658 KB - PDFEM:RAP 2016 September Individual MP3 Files 302 MB - ZIPEM:RAP 2016 September Written Summary 655 KB - PDFEMRAP Resumen en Español Septiembre 2016 1 MB - PDF

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