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EM@3AM: Murine Typhus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Murine Typhus—United States, 2002. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. California Department of Public Health. Flea-Borne Typhus: Epidemiology Summary 2013-2019. Accessed August 19, 2024. MMWR Morb Mortal Wkly Rep.

EMS 105
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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. 2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. ISSN 2002-4436.

EMS 97
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SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock

The Skeptics' Guide to EM

Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. He writes an […] The post SGEM#208: It Makes No Difference – Glucocorticoids for the Treatment of Septic Shock first appeared on The Skeptics Guide to Emergency Medicine. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. NEJM January 2018.

Shock 40
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Tasty Morsels of Critical Care 082 | Carbon Monoxide Poisoning

Emergency Medicine Ireland

I have previously covered this on the old tasty morsels of EM series back when i was doing my EM fellowship exams. The classic EM example is the whole family who present with flu symptoms and no fever and even the dog is sick. The New England journal of medicine 347 , 1057–1067 (2002). This is not really our cohort.

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Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

The paramedic notes called STEMI into question: “EMS disagree with monitor for STEMI callout. With both EMS and ED computer interpretations reading ‘STEMI’, the emergency physician activated the cath lab. Comparing J-point between leads noted no significant ST elevation or depression, with QRS prolongation from RBBB.”

EKG/ECG 73
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The Technologically Dependent Child in the ED

Pediatric Emergency Playbook

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. He is in compensated shock. Pediatr Surg Int (2002) 18: 50-53 DiBaise JK, Scolapio JS. Are you ready? Medicine is evolving. The Huber needle is not a resuscitative line.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

septic shock). Limited, small studies on its use in septic shock do not make a clear argument for use. Early Adjunctive Methylene Blue in Patients with Septic Shock: A Randomized Controlled Trial. Background: Sepsis can induce numerous physiologic derangements. Paper: Ibarra-Estrada, M et al. Crit Care 2023. 95% CI 15.4

Shock 145