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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. 7 Workup other than serum iron concentration at 4 hours after ingestion not shown to accurately predict clinical outcomes or severity of toxicity. 2005 Jun;159(6):557-60. Clinical Toxicology, 2005; 43(6), 553570. Tenenbein M.

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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. 2005 May;146(5):688-92.

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EM@3AM: Hyperthermia

EMDocs

2005 Oct 5;9(5):R498-501. Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke. Temps greater than 41.5C doi: 10.1186/cc3771. Raghavan, M.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

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Pain Management of Common Chief Complaints in the ED

EMDocs

A comprehensive, patient-centered approach to pain management ensures effective treatment across these diverse pain syndromes, ultimately improving patient outcomes. Cause and outcome of atypical chest pain in patients admitted to hospital. 2005 Jul-Aug 2005;12(4):311-9. Am J Emerg Med. May 2014;32(5):421-31. doi:10.1016/j.ajem.2014.01.015

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IV fluids in the ED: When do we really need them?

EMDocs

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear.