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Paediatric Appendicitis

Don't Forget the Bubbles

Tilly is normally fit and well, with no significant past medical history. Clinical scoring tools for appendicitis The recently published Best Practice Pathway Guidance by NHS England recommends using clinical risk scores to assess all children with suspected appendicitis. Archives of Disease in Childhood, 2001.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. mg/kg/dose (IM/IV) Has a FDA Black Box warning in 2001 citing concerns of QT prolongation and torsades de pointes (TdP). Document what you gave and why, as well as the impact. 5 mg PO; 0.05-0.15

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Nachi: We’re going to be talking about the pathophysiology of cannabinoids, clinical findings in abuse, best practice management, differences between natural and synthetic cannabinoids, and treatment for cannabinoid hyperemesis syndrome. Jeff: And the etiology of CHS is not well understood. So buckle up and get ready.

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IV fluids in the ED: When do we really need them?

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.