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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Oral administration of antibiotics: a rational alternative to the parenteral route. 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 1997; 24(3):457-67. PMID: 8874253 Oosterheert JJ, Bonten MJ, Schneider MM.

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2024 AHA Scientific Statement on Management of Elevated Blood Pressure

EMDocs

From 2006-2013, HTN emergencies occurred in approximately 2 of every 1000 adult ED visits. Administration of IV antihypertensives in the absence of HTN emergency is not recommended. Background Hypertension (HTN) is significant issue globally and a leading risk factor for cardiovascular disease.

Stroke 98
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emDOCs Podcast – Episode 102: Hypocalcemia in Trauma and the Diamond of Death

EMDocs

Two randomized controlled trials by Moore et al found that prehospital plasma administration in trauma patients is associated with hypoCa (53% vs 36%). Prehospital Ca administration reduces risk of hypoCa on arrival (70% vs. 28%). Make Ca administration a part of your massive transfusion protocol. Emerg Med J.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED).

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emDOCs Podcast – Episode 90: Hypokalemic Periodic Paralysis

EMDocs

Management: Administration of PO or IV potassium. If IV administration necessary, place on continuous cardiac monitoring and administer 20 mEq/ h with a maximum dose of 200 mEq/day. 2006 Jan;129(Pt 1):8-17. On exam, flaccid paralysis with little to no involvement of the bulbar or respiratory musculature. Muscle Nerve.

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Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

PEMBlog

In: Textbook of Pediatric Emergency Medicine, 5th, Fleisher GR, Ludwig S, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. Chun TH, Sargent J, Hodas GR.

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Riding the Waves: End-Tidal CO2 Monitoring

Taming the SRU

An abrupt increase in end-tidal is an indicator of the return of spontaneous circulation (however this can also represent recent administration of bicarbonate). 2006): e1170-e1178. Annals of emergency medicine 63.2 2014): 247-258. Lightdale, Jenifer R., Pediatrics 117.6