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2024 ACEP Elections Preview: Meet the Board of Directors Candidates

ACEP Now

Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.

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PEM POCUS Series: Pediatric Lung Ultrasound

ALiEM

F Heart Rate 138 bpm Blood Pressure 102/61 Respiratory Rate 32 Oxygen Saturation (room air) 100% He is well appearing but has increased work of breathing. The lung POCUS is also operator-dependent, and it has a steep learning curve. 2004 Feb;30(2):276-281. On arrival, his vital signs are: Vital Sign Finding Temperature 99.7

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Hip Pain in Pediatrics

Northwestern EM Blog

Typically well appearing with normal labs, however, this is a diagnosis of exclusion and a septic joint should be ruled out. The Kocher Criteria (originally developed in 1999 and validated in 2004) can be helpful in determining the likelihood of septic arthritis [6]. Affects ages 3-8, males to females 2:1 [3]. 2012;97(5):185-193.

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Diagnostics: Inflammatory Markers

Taming the SRU

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. Bacterial Meningitis: IDSA guidelines for 2004 report that a normal CRP value has a high negative predictive value for bacterial meningitis, but sensitivities and specificities vary between studies [35]. Cleve Clin J Med. doi: 10.3949/ccjm.75.8.557.

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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

The fire department, who operate at an EMT level in this municipality, arrived before us and administered 324 mg of baby aspirin to the patient due to concern for ACS. N Engl J Med [Internet] 2013;368(21):2004–13. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. Available from: [link] 4.

EKG/ECG 52
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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

Aziz D, Davis V, Allen L, Langer JC (2004) Ovarian torsion in children: is oophorectomy necessary? Do they need to be in the bay in front of your nursing station or in resus? CT prediction of the degree of ovarian torsion. Jpn J Radiol. 2015 Aug;33(8):487-93. doi: 10.1007/s11604-015-0452-z. Epub 2015 Jun 29. PMID: 26118889.

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Hysterectomy Complications

EMDocs

She had been feeling well until yesterday when she had a follow-up with her surgeon, at which time she reported that they performed an internal exam and inserted a ‘medication disk’ into her vagina. The patient is noted to be mildly tachycardic as well as febrile. difficile infection, and post-operative hemorrhage.

OB/GYN 93