Podcast 639: Rib Fractures in the Elderly

Podcast 639: Rib Fractures in the Elderly

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Retrospective review of 5,021 patients over 65 with 2 or more rib fractures recently published
  • 3577 (78 %) were admitted to non-ICU setting
  • 1.1% of these patients had unexpected intubation or ICU transfer
  • Findings raise questions regarding current guidelines for ICU admission in elderly patients with isolated rib fractures

References

Naar L, El Hechi MW, van Erp IA, Mashbari HNA, Fawley J, Parks JJ, Fagenholz PJ, King DR, Mendoza AE, Velmahos GC, Kaafarani HMA, Saillant NN. Isolated rib cage fractures in the elderly: Do all patients belong to the intensive care unit? A retrospective nationwide analysis. J Trauma Acute Care Surg. 2020 Dec;89(6):1039-1045. doi: 10.1097/TA.0000000000002891. PMID: 32697447.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD



Episoder(1147)

Podcast 611: Flu Season in the time of COVID

Podcast 611: Flu Season in the time of COVID

Contributor: Chris Holmes, MD Educational Pearls: During a typical flu season positive rates of flu tests run around ~20% Surveillance data from Australia, South Africa, and Chile showed remarkably l...

9 Nov 20203min

Podcast 610: Swimmers Itch

Podcast 610: Swimmers Itch

Contributor: John Winkler, MD Educational Pearls: Swimmers itch is due to a flatworm parasitic infection that causes an itchy rash after the worm burrows into the skin The flatworm is passed between ...

3 Nov 20203min

Podcast 609: Kratom

Podcast 609: Kratom

Contributor: Nick Hatch, MD Educational Pearls: Kratom is derived from the evergreen tree sharing the same name, found in Southeast Asia Kratom is legal is most regions Adverse effects of this substa...

2 Nov 20204min

Podcast 608: Another Elevated Lactate?

Podcast 608: Another Elevated Lactate?

Contributor: Jared Scott, MD Educational Pearls: Lactate is a byproduct of anaerobic metabolism or tissue hypoperfusion Though typically associated with severe sepsis, hyperlactatemia can be caused b...

27 Okt 20205min

Podcast 607: Is Pain the Enemy?

Podcast 607: Is Pain the Enemy?

Contributor: Don Stader, MD Educational Pearls: Pain is ubiquitous in the emergency department but it is not the enemy - suffering is Nociception is the ability to feel noxious stimuli which usually ...

26 Okt 20205min

Pediatric Emergencies Brewcast: Common Respiratory Conditions in Pediatric Patients

Pediatric Emergencies Brewcast: Common Respiratory Conditions in Pediatric Patients

Emergency Medical Minute collaborated with CarePoint Health in early March for a night of education on Pediatric Emergencies geared towards mid-level providers at a local Denver brewery for our latest...

21 Okt 202019min

Podcast 606: The Oxygen Wars

Podcast 606: The Oxygen Wars

Contributor: Aaron Lessen, MD Educational Pearls: The use of oxygen is controversial when treating patients with certain conditions, like MI's, stokes, or ARDS because adverse outcomes have been demo...

20 Okt 20203min

Podcast 605: Acute Limb Ischemia

Podcast 605: Acute Limb Ischemia

Contributor: Peter Bakes, MD Educational Pearls: Classically presents with the 6Ps: Pain, pallor, paresthesia, pulseless, poikilothermia (cold), and paralysis Acute limb ischemia occurs by embolic or...

19 Okt 20205min

Populært innen Vitenskap

fastlegen
rekommandert
tingenes-tilstand
jss
rss-rekommandert
liberal-halvtime
rss-paradigmepodden
sinnsyn
forskningno
villmarksliv
pod-britannia
fjellsportpodden
dekodet-2
rss-lundqvist-podden
rss-nysgjerrige-norge
hva-er-greia-med
tidlose-historier
rss-overskuddsliv
diagnose
tomprat-med-gunnar-tjomlid