Dr. Steven Schauer, PGY14
@armyemdoc.bsky.social
Military | Physician-Scientist | Emergency Medicine 🚑 | Critical Care | X @armyemdoc | Instagram @armyemdoc | My views/opinions only, not medical advice
Are IO's actually that painful to insert? Can they be used in awake patients?
This is over-dramatized. Yes, they can be used in awake patients.
One study assessed the pain associated with humeral IO insertion and removal finding a mean reported pain of 3.9 and 2.2 on a 10-scale, respectively.
This is over-dramatized. Yes, they can be used in awake patients.
One study assessed the pain associated with humeral IO insertion and removal finding a mean reported pain of 3.9 and 2.2 on a 10-scale, respectively.
April 30, 2025 at 12:42 AM
Are IO's actually that painful to insert? Can they be used in awake patients?
This is over-dramatized. Yes, they can be used in awake patients.
One study assessed the pain associated with humeral IO insertion and removal finding a mean reported pain of 3.9 and 2.2 on a 10-scale, respectively.
This is over-dramatized. Yes, they can be used in awake patients.
One study assessed the pain associated with humeral IO insertion and removal finding a mean reported pain of 3.9 and 2.2 on a 10-scale, respectively.
Can the blood bank run out of blood?
Well, yes, and no. Every hospital has their own thresholds for which they can request additional resources. This is sometimes referred to as a "catastrophic" activation.
Well, yes, and no. Every hospital has their own thresholds for which they can request additional resources. This is sometimes referred to as a "catastrophic" activation.
April 24, 2025 at 1:39 AM
Can the blood bank run out of blood?
Well, yes, and no. Every hospital has their own thresholds for which they can request additional resources. This is sometimes referred to as a "catastrophic" activation.
Well, yes, and no. Every hospital has their own thresholds for which they can request additional resources. This is sometimes referred to as a "catastrophic" activation.
#tbt 2023 versus 2016... Fort Bliss the sign was a lot cooler 😎 back in 2016
#emergency #emergencymedicine #military #army #armyemdoc
#emergency #emergencymedicine #military #army #armyemdoc
July 20, 2023 at 4:45 AM
#tbt 2023 versus 2016... Fort Bliss the sign was a lot cooler 😎 back in 2016
#emergency #emergencymedicine #military #army #armyemdoc
#emergency #emergencymedicine #military #army #armyemdoc
RCT published in Crit Care this week finds no benefit to prone positioning 🛌 in hypoxic COVID-19 patients with regards to:
-Progression to NIV or intubation
-Death
Major limitations:
-Median time prone per day was 90m, goal was 2h
-Only 1/3 of those assigned proning qualified for the per-protocol
-Progression to NIV or intubation
-Death
Major limitations:
-Median time prone per day was 90m, goal was 2h
-Only 1/3 of those assigned proning qualified for the per-protocol
June 19, 2023 at 10:38 PM
RCT published in Crit Care this week finds no benefit to prone positioning 🛌 in hypoxic COVID-19 patients with regards to:
-Progression to NIV or intubation
-Death
Major limitations:
-Median time prone per day was 90m, goal was 2h
-Only 1/3 of those assigned proning qualified for the per-protocol
-Progression to NIV or intubation
-Death
Major limitations:
-Median time prone per day was 90m, goal was 2h
-Only 1/3 of those assigned proning qualified for the per-protocol
When it comes to airway, there's not too many things worse than an unrecognized tube in the goose.
This systematic review assessed clinical methods when the gold standard waveform ETCO2 is not available:
Misting = 🗑 🗑 (FP=69%)
Auscultation = 🗑 (FP=18%)
Colormetric CO2 = 🤏 (FP=5%)
This systematic review assessed clinical methods when the gold standard waveform ETCO2 is not available:
Misting = 🗑 🗑 (FP=69%)
Auscultation = 🗑 (FP=18%)
Colormetric CO2 = 🤏 (FP=5%)
June 19, 2023 at 9:13 PM
When it comes to airway, there's not too many things worse than an unrecognized tube in the goose.
This systematic review assessed clinical methods when the gold standard waveform ETCO2 is not available:
Misting = 🗑 🗑 (FP=69%)
Auscultation = 🗑 (FP=18%)
Colormetric CO2 = 🤏 (FP=5%)
This systematic review assessed clinical methods when the gold standard waveform ETCO2 is not available:
Misting = 🗑 🗑 (FP=69%)
Auscultation = 🗑 (FP=18%)
Colormetric CO2 = 🤏 (FP=5%)
Acute subdurals are easy to manage from the ED standpoint.
Chronic subdurals, not so much. It's often something we find incidentally, and they may or may not have symptoms (e.g. fell down, hit head, no symptoms, etc.).
The DESCA trial came out this week, and sheds light on what doesn't work.
Chronic subdurals, not so much. It's often something we find incidentally, and they may or may not have symptoms (e.g. fell down, hit head, no symptoms, etc.).
The DESCA trial came out this week, and sheds light on what doesn't work.
June 19, 2023 at 4:03 PM
Acute subdurals are easy to manage from the ED standpoint.
Chronic subdurals, not so much. It's often something we find incidentally, and they may or may not have symptoms (e.g. fell down, hit head, no symptoms, etc.).
The DESCA trial came out this week, and sheds light on what doesn't work.
Chronic subdurals, not so much. It's often something we find incidentally, and they may or may not have symptoms (e.g. fell down, hit head, no symptoms, etc.).
The DESCA trial came out this week, and sheds light on what doesn't work.
The DHA and 59MDW funded DEVICE trial results are out.
It's clear that video laryngoscopy is superior to direct laryngoscopy.
The military needs to field VL technology to every medical footprint on the battlefield.
Time now.
It's clear that video laryngoscopy is superior to direct laryngoscopy.
The military needs to field VL technology to every medical footprint on the battlefield.
Time now.
June 17, 2023 at 8:29 PM
The DHA and 59MDW funded DEVICE trial results are out.
It's clear that video laryngoscopy is superior to direct laryngoscopy.
The military needs to field VL technology to every medical footprint on the battlefield.
Time now.
It's clear that video laryngoscopy is superior to direct laryngoscopy.
The military needs to field VL technology to every medical footprint on the battlefield.
Time now.
The results from our DEVICE trial are out in the @NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success.
In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL.
In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL.
June 16, 2023 at 6:07 PM
The results from our DEVICE trial are out in the @NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success.
In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL.
In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL.
🔥 off the press (hours ago) in @NEJM, the PATCH trial finds no benefit with prehospital TXA at 6 months based on GOSE.
June 14, 2023 at 3:55 PM
🔥 off the press (hours ago) in @NEJM, the PATCH trial finds no benefit with prehospital TXA at 6 months based on GOSE.