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EM@3AM: Stercoral Colitis

EMDocs

A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Stercoral colitis in the emergency department: a review of the literature. International journal of emergency medicine, 17(1), 3. Annals of emergency medicine, 82(1), 3746.

EMS 98
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

The procedure has soared in popularity as beauty standards have shifted and cosmetic surgery has become increasingly transparent on social media platforms, with reported cases in the United States increasing from 614 in 2002 to 61,387 by 2021, a nearly 10,000 percent increase. Cosmetic Surgery National Data Bank: 2002 Statistics.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes.

Stroke 99
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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. Evaluation of fever in the emergency department. ng/mL (strongly recommended against antibiotics), 0.1-0.25

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

The ROSE (Risk Stratification of syncope in the emergency department) Study. 2009.09.049 Objectives: The aim of this study was to develop and validate a clinical decision rule (CDR) to predict 1-month serious outcome and all-cause death in patients presenting with syncope to the emergency department.

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EM@3AM: Hyperthermia

EMDocs

An 18-month-old boy presents to the emergency department with loss of consciousness. Both can result in heat exhaustion and heat stroke and have many overlapping symptoms. Patients with heat stroke have hot, dry skin and altered mental status (e.g., C, and heat stroke occurs at a core temperature > 40°C.

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Pediatric Pain

Pediatric Emergency Playbook

Neonatal pain pathways are particularly plastic; prompt assessment of and increased alertness to neonatal pain may help to mitigate long-lived pain sensitivity and hyperalgesia ( Taddio 2002 ). For many medications, these children will have a greater weight-normalized clearance than adults ( Berde 2002 ). Acad Emerg Med.