UMEM Educational Pearls

Trauma is a leading cause of death in pediatric patients.  The  Pediatric Traumatic Hemorrhagic Shock Consensus Conference Recommendations have stated that blood products are better than crystalloid and recommend the use of low titer type O whole blood (LTOWB) over individual components for pediatric traumatic resuscitation.

This study used the Trauma Quality Improvement Program Database to look at 1122 pediatric patients (< 18 years) over a 3 year period to retrospectively examine the impact of the ratio of whole blood and blood products given during the resuscitation of these patients. When at least 30% of the blood products delivered within the first 4 hours of resuscitation were low titer O whole blood, survival improved at the 6, 12 and 24 hour time mark.
 

The authors concluded that the observed survival benefit supports the greater availability and use of LTOWB during pediatric trauma resuscitation.

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Title: EMS use of epinephrine in traumatic out of hospital cardiac arrest

Category: EMS

Keywords: survival, ROSC, trauma, arrest (PubMed Search)

Posted: 7/16/2025 by Jenny Guyther, MD (Updated: 7/18/2025)
Click here to contact Jenny Guyther, MD

This was a multicenter retrospective cohort study over 6 years at 7 level one and two trauma centers.

1631 patients who had out of hospital traumatic cardiac arrest were included. The majority of the patients were adults, female, suffered penetrating trauma (64%) and were in a non-shockable rhythm.  Prehospital epinephrine was given to 54% of patients.

Overall, survival to hospital discharge was lower in the epinephrine group (5% vs 16%).  In the penetrating trauma subgroup, there was no statistically significant survival difference in patients who received epinephrine and those who did not. 

EMS jurisdictions should examine their trauma arrest protocols and consider excluding the use of epinephrine.  Several states, such as Maryland, have already removed epinephrine from the trauma arrest protocol.

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Title: The 65 Trial

Category: Critical Care

Keywords: Hypotension, Shock, Mean Arterial Pressure, Vasopressors, Elderly Patients, Geriatrics (PubMed Search)

Posted: 7/15/2025 by Mark Sutherland, MD
Click here to contact Mark Sutherland, MD

Following up Dr. Flint's pearl from the other day, the largest study to date looking at a lower Mean Arterial Pressure (MAP) target in elderly ICU patients is the “65” Trial, published in JAMA in 2020.  This trial compared a MAP target of 60-65 to the usual goal of >65, in critically ill patients age 65 and older.  It included 2,455 patients in 65 ICUs in the UK, and found no difference between the groups.  

Bottom Line: Although most intensivists still target a MAP > 65 regardless of patient age, you do have some evidence to support you if you want to target 60-65 in patients over age sixty-five.  However, there are some important limitations (well outlined in the PulmCrit article linked below), and therapy should always be optimized to the patient and markers of end organ perfusion.

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Title: Higher MAP for critically ill older patients: is this the answer

Category: Geriatrics

Keywords: Geriatric, critical care, vasopressors. (PubMed Search)

Posted: 7/12/2025 by Robert Flint, MD (Updated: 7/14/2025)
Click here to contact Robert Flint, MD

An open label pragmatic study in 29 Japanese hospitals randomized septic shock patients over age 65 to either a high (MAP 80-85) or control (65-70) group. They then looked at all cause 90 day mortality. The study was stopped early due to a significantly higher percentage of mortality in the higher MAP group. 
The study isn’t blinded and is only done in one country, however it does raise the question of what is the ideal MAP for older septic shock patients.

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Title: Effect of vehicle size on pedestrian and cyclist fatalities

Category: Trauma

Keywords: Pedestrian, fatality, injury, cyclist (PubMed Search)

Posted: 7/12/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

This study from Great Britain compared fatalities for pedestrians and cyclist struck by motor vehicles based on vehicle body type. They found :

“We conclude that in Great Britain, being hit by an SUV as opposed to a passenger car increases injury severity among pedestrians and cyclists, with the strongest effect in children.“

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https://the.emergencyphysio.com/wp-content/uploads/knee-lip-lateral.png

What do you see?

There is no clear fracture line

Much like ice floats on water, fat also floats on water/blood because it is less dense.

An intra-articular fracture may allow for blood and fat to exit the bone marrow and settle in the joint space. 

This is called a lipohemarthrosis.

Best seen with a cross-table horizontal lateral view x-ray.

Go back to the image and examine the supra patellar pouch.

Most commonly seen in the knee in presence of a tibial plateau fracture.

Seen in approximately 1/3rd of tibial plateau fractures 

If you see this without a clear fracture, consider CT of knee which can help detect the hidden fracture.

Remember the DDx of knee hemarthrosis with negative plain films:

Meniscal tear, ligament tear (usually ACL), patellar dislocation and osteochondral fracture.

Except for meniscal tearing (>6h) these other pathologies cause rapid onset swelling (<2h).



Title: Another ICU boarder…What sedative should I use?

Category: Critical Care

Keywords: Sedation, propofol, dexmedetomidine, RASS (PubMed Search)

Posted: 7/8/2025 by Zachary Wynne, MD
Click here to contact Zachary Wynne, MD

The presence of an endotracheal tube by itself does not mandate sedation and many patients require no sedatives while intubated in the ICU. However, patients intubated in the emergency department usually require initial sedation while still paralyzed from RSI. Sedation can also help facilitate procedures and imaging in critically ill patients during initial management. 

Current literature has found increased mortality and length of ventilator requirement in oversedated ED patients. The target sedation level for the general population remains a goal RASS (Richmond Agitation-Sedation Scale) of 0 to -1. Society of Critical Care Medicine guidelines from early 2025 recommend dexmedetomidine over propofol as the preferred sedative for light sedation and reducing delirium risk in intubated critically ill patients. A recent trial re-examined other clinical outcomes between these two common sedative agents.

A2B Randomized Clinical Trial - JAMA 2025

Clinical Question: Does alpha 2 adrenergic receptor agonist sedation (dexmedetomidine or clonidine) reduce duration of mechanical ventilation in mechanically ventilated patients compared to a propofol based regimen (usual care)?

Where: 41 UK ICU’s from December 2018 to October 2023

Who: 1438 adults receiving mechanical ventilation for less than 48 hours, receiving propofol and opioid for sedation/analgesia, expected to require mechanical ventilation for greater than 48 hours

Intervention: protocol driven sedation to reach a RASS score of -2 to +1 (either dexmedetomidine, clonidine, or propofol). Of note, propofol could be added to achieve deeper sedation goal if deemed necessary by care team.

Outcomes:

  • No significant difference in time to extubation between dexmedetomidine vs. propofol (HR of 1.09, p=0.2) OR clonidine vs. propofol (HR of 1.05, p=0.34)
  • Higher rates of agitation in the dexmedetomidine group (HR of 1.54, CI 1.21-1.97) and clonidine group (HR of 1.55, CI 1.22-1.97) compared to propofol group
  • Mortality at 180 days similar between all groups
  • Severe bradycardia seen more frequently in dexmedetomidine and clonidine groups compared to propofol group although unclear if ongoing propofol administration had any effect on these groups
  • Subgroup analysis showed a weak interaction with age as a continuous variable showing reduced benefit on time to extubation with dexmedetomidine vs. propofol at later decades of life (i.e. dexmedetomidine showing potential benefit at younger ages)

Bottom Line:

While either dexmedetomidine or propofol, with appropriate use of opiates for pain management, are appropriate agents in non-paralyzed mechanically-ventilated patients, propofol may be a more appropriate choice in patients with greater agitation while boarding in the emergency department. However, close attention is needed to avoid the overly deep analgosedation associated with increased mortality. Maintain a goal RASS of 0 to -1 with frequent re-evaluation of your ICU boarders.

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Title: Digital Nerve Blocks vs Peripheral Nerve Blocks for Finger Injuries

Category: Ultrasound

Keywords: POCUS, MSK, finger injuries, nerve blocks (PubMed Search)

Posted: 7/7/2025 by Alexis Salerno Rubeling, MD (Updated: 7/18/2025)
Click here to contact Alexis Salerno Rubeling, MD

Digital nerve blocks are commonly used to provide anesthesia for finger injuries such as lacerations and dislocations. However, the procedure can be painful, as it often requires multiple injections into sensitive areas. 

A recent single-center, unblinded randomized study compared the subjective discomfort and analgesic efficacy of traditional digital nerve blocks with ultrasound-guided peripheral nerve blocks. The study included 106 patients, with 53 in each group. 

Results showed that patients in the peripheral nerve block group reported higher satisfaction rates. They also experienced less pain during the initial injection and longer-lasting analgesia compared to those who received digital nerve blocks. While digital blocks had a faster onset of anesthesia, they were associated with a higher rate of block failure.

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Title: Age friendly hospital quality measure

Category: Geriatrics

Keywords: Age friendly, geriatric, healthcare, quality improvement (PubMed Search)

Posted: 7/6/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

In mid-2024 the Center for Medicare and Medicaid Services introduced a new quality measure entitled Age Friendly Hospital Measure. The initial phase went into effect 1/1/25. It is built around programs from the American College of Surgeons, the American College of Emergency Physicians as well as the Institute for Healthcare Improvement (IHI). It is modeled around the IHI’s 4M Framework. 

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Title: Use of shock index in compensated shock state to predict transfusion

Category: Trauma

Keywords: Shock index, transfusion, hypotension (PubMed Search)

Posted: 7/5/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

These authors looked at 5958 trauma patients arriving at their trauma center with a systolic blood pressure greater than 90. They calculated shock index (heart rate /sbp) for all of these and then looked at who received a blood transfusion within one hour of arrival.  211 patients received blood in that time frame.  “Patients were stratified by SI using the following thresholds: ? 0.7, > 0.7 to 0.9, > 0.9 to 1.1, > 1.1 to 1.3, and > 1.3.”
“A main effect was observed for shock index with increased risk for required transfusion for patients with admission shock index >0.7 (P < 0.001). In comparison to shock index of ? 0.7, odds ratios were 2.5(1.7 - 3.8), 8.2(5.4 - 12.2), 24.9(15.1 - 41.1), 59.0(32.0 - 108.6) for each categorical increase in SI.”

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Title: Facial Fracture Transfer Guidelines

Category: Trauma

Keywords: facial fracture, transfer, guidelines (PubMed Search)

Posted: 6/29/2025 by Robert Flint, MD (Updated: 7/2/2025)
Click here to contact Robert Flint, MD

Based on a review of  511 patients transferred to a level one trauma center for evaluation of facial fractures, this group developed the Facial Fracture Transfer Guidelines.  they found that over half of the patients transferred to them did not require intervention and were discharged within 6 hours. These guidelines are meant to decrease unneeded transfers yet provide appropriate care to those with traumatic facial injuries. 

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When To Initiate RRT in the Critically Ill Patient

  • Acute kidney injury (AKI) occurs in more than half of critically ill patients admitted to the ICU.
  • When and how to initiate renal replacement therapy (RRT) in the critically ill patient remains debated.
  • While a strategy of deferred RRT is preferable in many, indications for immediate RRT in patients with AKI include the following:
    • Potassium > 6.5 that is refractory to medical therapy
    • pH < 7.15 that is not responsive to bicarbonate administration
    • Fluid overload (worsening pulmonary edema, P/F ratio < 200 mm Hg) that is refractory to diuretics

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Title: Facial Fracture Review

Category: Trauma

Keywords: facial fracture, Le Fort, orbital fracture (PubMed Search)

Posted: 6/29/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

Most common facial fracture is the nasal fracture followed by the zygomatic arch fractures. 

Le Fort Classification of facial fractures/facial stability. The higher the number, the more unstable. 

Orbital blow out fractures may entrap the ocular muscles leading to eye immobility in various directions. 

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https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRxA2sxn61lNukrHj5s61hL_rRR2vlIg3JigP7hlru5TqqFJcFz2Q

Haglund’s deformity

Calcaneal bony growth at the Achilles insertion

Also known as a “pump bump”

Risks: Tight & rigid shoes. Shoes with a hard heel counter. High arches. Tight Achilles tendon. Repetitive heel stress (jumping). Genetically prone bone structures.

Most common in woman between the ages of 15 and 35. Wearing heels. Runners.

Hx: Heel pain and tenderness with a noticeable bump at back of heel. Worse with walking and with certain footwear. 

PE: Swelling and redness around bony prominence. 

Pain and tenderness in the posterior heel, especially when pressure is applied.

Imaging: Excessive traction and abnormal biomechanics lead to insertional calcifications and bone spurs.

 Over time, an exostosis may develop at posterior superior calcaneus as shown in the attached film.

Tx: Physical therapy and orthotics that alter heel height in shoe.

Surgery for chronic cases.



Title: Occurrence or Claims-made?

Category: Administration

Keywords: insurance, malpractice, claims-made, occurrence, lawsuit (PubMed Search)

Posted: 6/25/2025 by Steve Schenkel, MPP, MD (Updated: 7/18/2025)
Click here to contact Steve Schenkel, MPP, MD

Malpractice Insurance comes in two varieties: Occurrence and Claims-made.

Occurrence covers lawsuits for which the event occurs while the insurance is active.

Claims-made only covers lawsuits for which the insurance is active both during the event and when the lawsuit is announced. It’s less expensive because the coverage period is both shorter and more definitive.

This is an important distinction when an event and a lawsuit may be separated by years, as happens with medical malpractice.

Occurrence is the “good” kind.

Claims-made requires a tail to cover any claims brought after the insured period ends.

Read how this can go awry in Emergency Medicine at Leon Adelman’s April post here, https://substack.com/home/post/p-161044772.



Title: Troubleshooting Ventilator Dyssynchrony

Category: Critical Care

Keywords: ventilation ineffective-trigger double-trigger (PubMed Search)

Posted: 6/24/2025 by Cody Couperus-Mashewske, MD
Click here to contact Cody Couperus-Mashewske, MD

Patient-ventilator dyssynchrony is a sign of a disagreement between the patient's breathing and the ventilator's settings. Recognizing and fixing it is a critical skill to prevent lung injury and improve comfort. Ineffective triggering and double-trigger are two common types of dyssynchrony.

Ineffective Triggering

The patient tries to take a breath, but they are too weak to trigger the ventilator. This is the most common type of dyssynchrony. It causes increased work of breathing and discomfort.

Look for a small dip in the pressure waveform and a simultaneous scoop out of the expiratory flow waveform that is not followed by a delivered breath.

Troubleshooting options:

  • Try making the trigger more sensitive (e.g., decrease flow trigger from 3 L/min to 1 L/min).
  • Try increasing the respiratory support based on the mode of ventilation. The patient may need higher pressure or volume to support the breaths they are able to trigger.
  • Check for and treat auto-PEEP, which makes it harder for the patient to trigger the next breath. This is especially critical for patients with COPD or asthma!
  • Try a different mode of ventilation

Double-Triggering ("Breath Stacking")

The patient's own breath outlasts the ventilator's set inspiratory time (Ti), causing one patient effort to trigger two stacked breaths. This results in delivery of large tidal volumes, risking lung injury (volutrauma).

Look for two consecutive breaths on the ventilator screen without a full exhalation in between.

Troubleshooting options:

  • Increase the set tidal volume Vt or the inspiratory time Ti to better match patient demand.
  • Address underlying causes of high respiratory drive (e.g., pain, anxiety, acidosis).
  • Increase sedation if appropriate.
  • Try a different mode of ventilation, such as pressure support, where the patient has more control over inspiratory time.

Bottom Line

Dyssynchrony means the ventilator settings do not match the patient's needs. Watch the waveforms to diagnose the mismatch, then either adjust the ventilator or treat the underlying problem.

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Title: BIG for kids

Category: Trauma

Keywords: Head injury, BIG, pediatric (PubMed Search)

Posted: 6/23/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

Brain injury guidelines were designed to decrease transfers and neurosurgical consults for adults with head injuries. 

A new retrospective study suggests that modified  guidelines may be feasible in the pediatric population as well. More data is needed but this is an important step in assuring safe resource utilization in pediatric head injury patients.

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Title: Call Neurosurgery for that abscess!

Category: Infectious Disease

Keywords: Abscess, brain, drainage, neurosurgery (PubMed Search)

Posted: 6/22/2025 by Robert Flint, MD (Updated: 7/18/2025)
Click here to contact Robert Flint, MD

In a Danish study of 558  patients with a brain abscess, those that had early surgical drainage did better than those treated conservatively with antibiotics only.  Prompt neurosurgical consultation is warranted for these patients.

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Despite ongoing attacks against the principles of DEI, most medical organizations know and have acknowledged the necessary role of creating a more diverse, equitable and inclusive environment.  Doing so requires both a bottom up and a top down approach, with engaged leadership supporting active efforts to increase diversity

This author, published just this month in Annals, details a unique and exciting way to engage resident leadership in the DEI efforts of an emergency department, with the creation of a Chief Resident for DEI role.  They detail the creation of the role, and describe some of the roles and responsibilities and thoughfully discuss some of the limitations.  It's an exciting and thought provoking read.

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Intranasal (IN) midazolam is often used for anxiolysis in pediatrics prior to procedures.  In this study, 0.2 mg/kg of IN midazolam (up to 6 mg total dose) was given prior to laceration repair in children 2-10 years.

90% of children were at least minimally sedated at the start of the procedure and these children also displayed less anxiety when measured on a standardized anxiety scale.  

Children's whose procedure started 10-20 minutes after IN medication compared to 25-35 minutes had significantly lower anxiety.

IN midazolam can be successful as an anxiolytic, but careful attention should be directed at the timing of the procedure.

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