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EM@3AM: Murine Typhus

EMDocs

Murine Typhus—United States, 2002. Ischemic Hepatitis and Septic Shock Secondary to Murine Typhus Infection in Pregnancy. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. California Department of Public Health. Flea-Borne Typhus: Epidemiology Summary 2013-2019. Accessed August 19, 2024.

EMS 105
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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. References Garcia SE. Butt Lifts Are Booming. Healing Is No Joke.

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

Dr. Smith's ECG Blog

I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. As for the ECG, it could represent OMI, but RBBB is also a clue that it may be PE. There is sinus tachycardia at ~100/minute.

EKG/ECG 73
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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

The combination of abnormalities determines the category of pathophysiology: respiratory distress, respiratory failure, CNS or metabolic problem, shock, or cardiopulmonary failure. Was there any prenatal care or ultrasound done? 2002; 3:3-13. Heart disease or Hypovolemia - is there a history of congenital heart disease?

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MI in Children

Pediatric Emergency Playbook

The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. 2002; 12:411-413. Cardiovasculr Ultrasound. 2002; 78:27-30. 2002; 17:169-172. Case Reports Cardiol. 2012; AID 471759. Möhlenkamp S et al.

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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%. 2002 Jan 2;287(1):92-101. Intensive Care Med. 2021 Nov;47(11):1181-1247. 1780390220.

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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 ). 2002 Oct 3;347(14):1094-103.