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

EMDocs

hypertensive emergency, need for thrombolytic administration) [1]. Case Resolution: In addition to standard measures for resuscitation, the patient is started on a nicardipine drip to target an SBP < 160 mmHg and neurosurgery is urgently consulted. 2004 Feb;35(2):520-6. Epub 2004 Jan 15. 2004 Jun;35(6):1364-7.

Stroke 99
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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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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 2004 Jul;27(7):1541-6. Glucose > 200 mg/dL Moderate or Large Ketonuria The severity of DKA is categorized by the degree of acidosis Mild : venous pH < 7.3 Lesson = treat early!

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Opinion: When Health Care Regulatory Agencies Practice Medicine

ACEP Now

CDPH still insists that following the Food and Drug Administrations (FDA) package insert is the gold standard when it comes to medical practice. Food and Drug Administration. Food and Drug Administration. Food and Drug Administration. Fast forward to now, and it seems droperidol is still a favorite punching bag for CDPH.

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Adjunctive Methylene Blue in Septic Shock?

RebelEM

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. Crit Care 2004. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4 NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9%

Shock 145
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Early administration of antibiotics is the only factor known to reduce this mortality. Early administration of antibiotics is the only factor known to reduce this mortality. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Radiologypics, P. 2014, November 10).

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Vasopressor Nonresponse

Northwestern EM Blog

Due to its extremely high morbidity and mortality as well as high healthcare costs, the prompt recognition, diagnosis and resuscitation of shock is key. There is a subset of patients who, despite aggressive conventional resuscitation, have an inadequate hemodynamic response and develop refractory shock.