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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

just be careful with pelvic fractures or any femoral arterial punctures/ devices. Sep 2004; PMID: 15045170 Luecke T, et al “PEEP and cardiac output.” Mar 2004; PMID: 15090949. There is evidence that pulmonary artery wedge pressures and central venous pressures fail to predict response to volume infusion. J Clin Med.

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Annals of B Pod: Phlegmasia Cerulea Dolens

Taming the SRU

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. 2004 Sep 21;110(12):1605-11. Epub 2004 Sep 7. 2004 Jul-Aug;32(4):429-35. The remainder of the physical examination is unremarkable.

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

RebelEM

in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 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. PMID: 27422214 Wang C et al.

Stroke 136
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Complex Regional Pain Syndrome

Don't Forget the Bubbles

CRPS subtypes Type I absence of significant nerve damage Type II very rare in childhood occurs in the setting of known nerve damage CRPS-NOS (not otherwise specified) only partially meets CRPS criteria not better explained by any other condition Budapest Criteria In 2004, the Budapest Criteria were suggested.

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

PulmCCM

This looks like the major fracture between the two expert panels. 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. This would trigger routine steroid treatment in an enormous number of ICU patients—a big practice change.

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Please STOP LIMPING!

Pediatric Emergency Playbook

T – Toddler’s fracture This is usually a torque injury when the wobbling toddler pivots quickly or trips and falls. Toddler’s fractures happen in children 1 to 3 years of age, and occur in the distal 1/3 of the tibia. Sometimes a cast is needed, but currently there is a new trend in foregoing casting in mild cases.

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The 73rd Bubble Wrap

Don't Forget the Bubbles

Radiographs from children with fractures, or disease processes affecting bone growth, were excluded. 2004) Positive end expiratory pressure during resuscitation of premature lambs rapidly improves blood gases without adversely affecting arterial pressure. Probyn, M.E., Hooper, S.B., Dargaville, P.A., McCallion, N., Crossley, K.,