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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% While chest radiograph is often the first-line imaging modality, lung ultrasound has higher sensitivity and can detect pulmonary abnormalities earlier; CT imaging should be considered if initial imaging is negative or if concern for PE is present.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Ultrasound Sensitivity 88-100%, specificity 68-94% LR+ of 14.6 (95% While chest radiograph is often the first-line imaging modality, lung ultrasound has higher sensitivity and can detect pulmonary abnormalities earlier; CT imaging should be considered if initial imaging is negative or if concern for PE is present. pneumoniae, C.

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Diagnostics: Thromboembolic Disease in Pregnancy

Taming the SRU

It is estimated to affect every 1 in 500 to 2000 pregnancies. history of VTE, increased calf circumference, pain and swelling), then the next step is to attain a compressible ultrasound of the affected leg. If there are no DVT symptoms or the compressive ultrasound is normal, then the D-dimer is utilized.

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Episode 31 - Emergency Department Management of Patients Taking Direct Oral Anticoagulant Agents (Pharmacology CME)

EB Medicine

Nachi: Specifically, we’ll be focusing on the use of DOACs for the indications of stroke prevention in atrial fibrillation and the treatment and prevention of recurrent venous thromboembolisms. Jeff: Rivaroxaban, trade name Xarelto, the second FDA approved DOAC, is used for stroke prevention in those with nonvalvular afib and VTE treatment.

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Diagnostics: Inflammatory Markers

Taming the SRU

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. 2000 Aug;30(1):17-24. Semin Arthritis Rheum. doi: 10.1053/sarh.2000.8366.

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Pediatric Pain

Pediatric Emergency Playbook

Facial grimacing is a weak indicator of pain in neonates ( Liebelt 2000 ). Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. 2000 Aug;106(2 Pt 1):351-7. Ultrasound guidance for pediatric peripheral nerve blockade. Do not expect typical pain behaviors in neonates. Pediatrics.

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MI in Children

Pediatric Emergency Playbook

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. Cardiovasculr Ultrasound. 2000; 35(6):618-622. However, the presence of PFO alone does not connote higher risk. Circulation.