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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Oral administration of antibiotics: a rational alternative to the parenteral route. Lancet 2004; 364: 1141-8. Read More First10EM: Magical Thinking in Modern Medicine: IV Antibiotics for Cellulitis First10EM: Oral Antibiotics are Equivalent to IV (Again) – The OVIVA Trial References MacGregor RR, Graziani AL. 1997; 24(3):457-67.

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

EMDocs

hypertensive emergency, need for thrombolytic administration) [1]. 2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7. Epub 2004 Apr 29. When acute treatment is indicated, cautious BP lowering is suggested (~15% in the first 24 hours) [1-6]. Castillo J, et al. doi: 10.1161/01.STR.0000109769.22917.B0.

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emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

EMDocs

Management: Administration of PO or IV potassium. If IV administration necessary, place on continuous cardiac monitoring and administer 20 mEq/ h with a maximum dose of 200 mEq/day. 2004 Nov 9;63(9):1647-55. On exam, flaccid paralysis with little to no involvement of the bulbar or respiratory musculature. Statland JM, Barohn RJ.

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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

2004 Feb;113(2):347-52. The effectiveness of IV cetirizine was determined to be statistically non-inferior. However, according to the American Academy of Allergy, Asthma, and Immunology, “oral antihistamine therapy is equivalent to IV therapy” (Ledford D 2019). Multicenter study of emergency department visits for food allergies.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2004; 199(4):628-635. Plasma levels of lidocaine following nebulized aerosol administration. 2004 Aug;44(2):131-7. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. 2006; 26:1485-1500. Kapfer SA, Rappold JF. J Am Coll Surg. Lee HC et al. J Emerg Med. Pediatrics.

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Docusate for Cerumen Impaction? I Sh*t You Not

Critical Care Now

If the tympanic membrane was not completely visualized after administration of the medication, irrigation with 50 – 100 mL of lukewarm normal saline may be completed. 2004; 54(508): 862 – 7. Debrief Docusate is a stool softener that may be used as a cerumenolytic for patients with cerumen impaction. J Prim Care Community Health.

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2023 ACEP Elections Preview: Meet the President-Elect and Council Officer Candidates

ACEP Now

This is an important opportunity for board certified emergency physicians to secure those positions today, impressing upon hospital administrations the essential benefits to the patients, the medical staff, and the hospital itself uniquely enabled by board certified emergency physicians.