Cerebral oximetry monitoring using near-infrared spectroscopy during adult procedural sedation: a preliminary study.

Background And Objectives: We sought to evaluate the effect of adult procedural sedation on cerebral oxygenation measured by near-infrared spectroscopy (rSo levels), and to assess whether respiratory depression occurring during procedural sedation was associated with decreases in cerebral oxygenation.

Methods: We performed a prospective, observational preliminary study on a convenience sample of adult patients (>18 years) undergoing unscheduled procedural sedation in the ED from August 2017 to September 2018 at Hennepin County Medical Center in Minneapolis, Minnesota. The primary outcome measures were rSo values by level of sedation achieved and the incidence of cerebral hypoxaemia during procedural sedation (absolute rSo ≤60 or decrease ≥20% from baseline).

The feasibility of bedside transvaginal ultrasonography in non-pregnant women in the emergency department.

Study Objective: We recorded data on the routine use of point-of-care transvaginal ultrasound (POC TVUS) for the evaluation of non-pregnant women with pelvic complaints in the Emergency Department (ED), and sought to determine how it altered the diagnostic impression and management.

Methods: This was a prospective observational study. Adult non-pregnant women with pelvic complaints undergoing POC TVUS were enrolled.

Periodic Refresher Emails for Emergency Department Mass Casualty Incident Plans.

Audience And Type Of Curriculum: This mass casualty incident (MCI) curriculum is intended for use as refresher content in the months between more formal education, such as hands-on MCI training and drills. The target audience for each topic varies, but the majority of them apply to all disciplines such as direct patient care roles (emergency room technicians, nurses, paramedics, advanced practice practitioners, resident physicians, attending physicians, etc.) and emergency department clerks/coordinators.