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Glasgow Coma Scale in Children

Pediatric EM Morsels

cats and dogs have their own GCS scores [Lapsley 2019, Ash 2018] Moral of the Morsel Modified can make it Merrier! 2019 Jul;20(7):660-666. 2019 Sep;241:112-118. Epub 2019 Apr 22. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. 2019 Jul;20(7):682-683.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. 2000 May 4; PMID: 10793162 Harvey CE, et al. Paper: Owyang CG, et al. J Crit Care.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. 2019-0134 Hirtz D, Ashwal S, Berg A, et al. 2000; 55(5):616-623. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. Pediatr Rev.

Seizures 131
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REBEL Cast Ep117: Low Dose vs Standard Dose Take-Home Buprenorphine From the ED

RebelEM

from 2019 to 2021 (from 48,000 to 81,400 annual deaths), which includes prescription opioids (natural and semi-synthetic opioids and methadone), heroin, and synthetic opioids other than methadone including fentanyl (1). Microdosing and standard‐dosing take‐home buprenorphine from the Emergency Department: A feasibility study.

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REBEL Core Cast 118.0 – IM vs PO NSAIDs

RebelEM

Surgical Patients Quereshi 2019 Double-blind RCT IM diclofenac 75 mg vs PO diclofenac 100 mg Small difference favoring IM in terms of speed to pain relief Authors conclude PO superior due to time to prepare injection The data looks fairly clear in terms of analgesic efficacy but, don’t some patients simply prefer to receive a shot?

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Clinical Conundrum: Does IM Ketorolac Provide Superior Pain Relief to PO Ibuprofen?

RebelEM

Surgical Patients Quereshi 2019 Double-blind RCT IM diclofenac 75 mg vs PO diclofenac 100 mg Small difference favoring IM in terms of speed to pain relief Authors conclude PO superior due to time to prepare injection The data looks fairly clear in terms of analgesic efficacy but, don’t some patients simply prefer to receive a shot?

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. Chest 2000; 117(1): 260 – 7. Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K; Japanese Emergency Medicine Network Investigators. Int J Emerg Med. Prehosp Emerg Care.