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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

A critical MORSEL is that every child you treat for DKA needs to have an initial thorough neuro exam including cranial nerves and then frequent neuro reassessments … and document it ( so your colleagues who take over care for the kid can know if there has been a change )! 2004 Jul;27(7):1541-6. Diabetes Care. PMID: 15220225.

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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

A code stroke is activated, and a CT head shows a left basal ganglia hemorrhage with no vascular lesions on CT angiography. Initial evaluation by medics revealed right arm weakness, a right facial droop, and decreased responsiveness. When he arrives at your ED, the family tells you he was doing fine until dinner.

Stroke 90
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Waiting Room Medicine: The Ethical Conundrum

ACEP Now

This less-than-ideal situation, however, does not negate the cornerstone of ACEPs Code of Ethics to embrace patient welfare as [our] primary professional responsibility. Oxford; New York: Oxford University Press, 2004. Vearrier is a professor of emergency medicine at the University of Mississippi Medical Center. References Miles, SH.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

In 2004, the UK introduced the acellular pertussis (aP) vaccine, replacing the whole-cell pertussis (wP) vaccine due to its association with fewer adverse events. JOINT committee on vaccination and immunisation code of practice June. European Centre for Disease Prevention and Control. Measles facts [Internet]. cited 2024 Oct 24] WHO.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

PMID: 21422387 Wan S et al. Thrombolysis Compared with Heparin for the Initial Treatment of Pulmonary Embolism: A Meta-Analysis of the Randomized Controlled Trials. PMID: 15262836 Sharifi M et al. Pulseless Electrical Activity in Pulmonary Embolism Treated with Thrombolysis (from the “PEAPETT” Study). PMID: 27422214 Wang C et al.

Stroke 136
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The Latest in Critical Care, 1/16/24 (Issue #25)

PulmCCM

You can read the document for all the caveats. However, ATS’s statement does seem to suggest considering the PEEP titration strategy from a 2004 trial that used even higher levels of PEEP than this. ” … But one should consider them nevertheless in all ARDS patients … but conditionally , of course … ?

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

In both tracings — an exceedingly fast PMVT is documented. In such cases — radiofrequency ablation of ectopic beats triggering malignant ventricular arrhythmias was needed for control of arrhythmic storm because the antiarrhythmic medications tried were ineffective ( Marrouche et al — JACC 5;43(9): 1715-20, 2004 ).

EKG/ECG 131