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Rash Week! My aching feet!

PEMBlog

She is systemically well appearing. N Engl J Med 2001; 345:335-338. Just look at the rash – then scroll down to reveal the diagnosis. That’s it. And oh yeah, she did spend time in a hot tub during a recent trip. The nodules on the platter surface of the feet are painful. It’s Pseudomonas Hot-Foot Syndrome! aeruginosa.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

2001 Apr;68(4):311-4. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Pediatr Neurol. 2006 May;34(5):379-87. doi: 10.1016/j.pediatrneurol.2005.10.012. 2005.10.012. PMID: 16647999. Chaturvedi P, Kishore M. Modified Glasgow Coma Scale to predict mortality in febrile unconscious children.

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Video beats direct laryngoscopy for intubation--even for experts

PulmCCM

Video laryngoscopy was introduced in 2001 as a technique for orotracheal intubation. We reviewed the DEVICE trial in 2023, which you can read about here: The Goalposts Are Moving An increasing share of intubations have been performed with video since 2001.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. (Jackson 2016) It can also be used in UTIs , but is typically reserved for special cases where the infectious bacteria is found to be multidrug resistant or in complicated UTIs.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

2001 Nov 27;104(22):2722-7. This 1910 description by Lewis serves well to this day to remind us of the 2 principal clinical situations in which electrical alternans is most often encountered: i ) Supraventricular reentry tachycardias; and , ii ) Pericaradial tamponade. JAMA Intern Med. 2017 Oct 1;177(10):1520-1522. 2017.3191.

EKG/ECG 131
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Rual Garcia, DO, FACEP – Full Interview

ACEP Now

The No Surprises Act was well-intentioned, but it unintentionally allowed insurers to avoid paying us. This approach was effective in Portugal’s heroin crisis in 2001, and we can replicate that success here. ACEP Now: What are your thoughts on consolidation among insurers and health care providers?

OB/GYN 40
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Paediatric Appendicitis

Don't Forget the Bubbles

Tilly is normally fit and well, with no significant past medical history. The Shera Score Children with a low Shera score (less than 3) who are otherwise systemically well may be suitable for discharge home with safety netting advice , whereas patients with high scores (8 or more) warrant immediate surgical referral. Bachur, R.G.,