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Dr. Steven Schauer, PGY14

@armyemdoc.bsky.social

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 30/04/2025

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.

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 24/04/2025

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.

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 20/07/2023

#tbt 2023 versus 2016... Fort Bliss the sign was a lot cooler 😎 back in 2016 #emergency #emergencymedicine #military #army #armyemdoc

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 19/06/2023

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

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 19/06/2023

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%)

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 19/06/2023

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.

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 17/06/2023

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.

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 16/06/2023

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.

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Dr. Steven Schauer, PGY14 @armyemdoc.bsky.social · 14/06/2023

🔥 off the press (hours ago) in @NEJM, the PATCH trial finds no benefit with prehospital TXA at 6 months based on GOSE.

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