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ToxCard: Iron

EMDocs

2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Antiemetics as needed.

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EM@3AM: Endometritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 2003 Aug;82(8):730-5. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. A 37-year-old G2P2 female with no other past medical history presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge.

OB/GYN 81
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Episode 14: Thoracotomy

PHEM Cast

pdf Equipment required for resuscitative thoracotomy: Surface anatomy: Appearance of pericardial clot A foley catheter being used to fill a cardiac wound – note how easily this could be pulled out. An open chest with aortic compression Simulation of resuscitative thoracotomy by London HEMS team. J Am Coll Surg; 2003 (1): 106-111.

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

EMDocs

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26.

Stroke 91
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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

RebelEM

Does the inclusion of patients pronounced dead on scene and the presence of a physician-based EMS organization affect the pooled mortality rate and survival with favorable neurologic outcomes for prehospital TCA? Subcategory data on EMS system type is still extremely variable, given the range of included EMS systems and regions.

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Intubation

PHEM Cast

J Trauma 2003; 54:444-453 Mort TC. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. Difficult prehospital endotracheal intubation – predisposing factors in a physician based EMS. Resuscitation. Anesth Analg. 2004 Aug;99(2):607-13, Hasegawa K et al.

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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. The Huber needle is not a resuscitative line. Vascular Devices: assume the line is not functional, and use another to resuscitate, especially in port-a-caths. Are you ready?