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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. Of course, there are other methods of assessing fluid tolerance : Capillary refill evaluation, passive leg raise, central venous pressure measurement, pulmonary artery wedge pressures, stroke volume variation, pulse pressure variation, etc.

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

EMDocs

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes.

Stroke 99
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SGEM#450: Try Again – Andexanet for Factor Xa Inhibitor–Associated Acute Intracerebral Hemorrhage

The Skeptics' Guide to EM

He is an assistant professor in Emergency Medicine, Neurology, and Neurosurgery at the School of Medicine at the University of Washington. Case: A 65-year-old man is brought into the emergency department (ED) by emergency medical services (EMS) after his family saw him slump over at the dinner table.

Stroke 90
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Glasgow Coma Scale in Children

Pediatric EM Morsels

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 J Surg Res. 2019 Sep;241:112-118. doi: 10.1016/j.jss.2019.03.038. 2019.03.038. Epub 2019 Apr 22. PMID: 31022676. 2004;43:215-223.

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SGEM Xtra: Here Comes the NINDS Again

The Skeptics' Guide to EM

Ravi Garg is a Neurologist in the Department of Neurology, Division of Neurocritical Care at Loyola University Chicago. Risk of selection bias assessment in the NINDS rt-PA stroke study. Dr. Garg […] The post SGEM Xtra: Here Comes the NINDS Again first appeared on The Skeptics Guide to Emergency Medicine. BMC Med Res Methodol.

Stroke 52
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A man in his 60s with syncope and ST depression. What does the ECG mean?

Dr. Smith's ECG Blog

A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. He did not have chest pain.

EKG/ECG 124
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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., Tunkel, A. Hartman, B. Kaplan, S. Kaufman, B. Scheld, W. M., & Whitley, R.