Jul 26, 2012
In this episode...
Mandibular Dislocation Technique
Daniel Gromis has applied lessons learned from the Cunningham Technique for shoulder reduction and applied them to mandibular dislocations. One of the main hurdles in reducing a dislocated mandible is overcoming the spasm and force of the masseter muscle. By massaging the masseter and using a 'casting' type motion of the wrist, the Gromis Method may obviate the need for procedural sedation.
Have a video you think would be a good fit for Roberts and Hedges Clinical Procedures in Emergency Medicine?
International Journal of Emergency Medicine 2009 2:217–225 Activated prothrombin complex concentrate factor VIII inhibitor bypassing activity (FEIBA) for the reversal of warfarin-induced coagulopathy,”
Suboptimal effect of a three-factor prothrombin complex concentrate (Profilnine-SD) in correcting supratherapeutic international normalised ratio due to warfarin overdose. Transfusion. 2009;49:1171–7
Imberti D, Barillari G, Biasioli C, et al. Emergency anticoagulation reversal with a 3-factor prothrombin complex concentrates in patients with intracranial haemorrhage. Blood Transfus.2011;9:148–55.
First trauma study of 3-factor (profilnine SD on average 35 units/kg) showed good reversal of coagulopathy (J Trauma 2012;72(4):828)
This retrospective study is one of the first to show outcome benefit from PCC reversal (Cerebrovasc Dis. 2011;31(2):170-6)
Is there something in emergency medicine or medicine in general
that really gets your goat? Are your frothing at the mouth, just
waiting for a chance to tell the world your take? Last year, rants
ranged from the vitriolic, to educational, to philosophical. Last
year's Rant-Off can be heard here http://blog.ercast.org/
1. Think of rant
2. Record rant. 90 seconds or less time limit. If you don't have a microphone, a smartphone works great
3. Email your rant to email@example.com