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

RebelEM

Except for patients with poor gut absorption or those with critical infectious processes such as septic shock or necrotizing fasciitis, this belief appears to be unfounded. Oral administration of antibiotics: a rational alternative to the parenteral route. 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2).

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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. 2006 Oct;99(10):501-5. The most common presentation in children under 5 years of age is rectal bleeding, which may be intermittent or massive. The bleeding is usually painless. Meckel diverticulum. J R Soc Med.

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). She arrives in the emergency department (ED) with decreased level of consciousness and shock.

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Episode 7: Sepsis

PHEM Cast

The control group received many similar treatments as the ‘intervention’ group (just not full protocolised EGDT) highlighting that with good sepsis care (fluid resuscitation, close monitoring, early appropriate antibiotic administration), mortality can be reduced. 2006 Jun 3;332(7553):1295–8. 2006 Jun 3;332(7553):1299–303.

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The Pediatric Surgical Abdomen

Pediatric Emergency Playbook

2006; 26:1485-1500. 2006; 22:1021-1024. Plasma levels of lidocaine following nebulized aerosol administration. Pediatr Rev. 1988; 9(7):219-226. Malrotation with Midgut Volvulus Applegate KE. Intestinal Malrotation in Children: A Problem-Solving Approach to the Upper Gastrointestinal Series. Radiographics. Kapfer SA, Rappold JF.

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How to prevent central line infections

PulmCCM

A 2006 analysis showed much lower rates of CLABSI with PICC lines, compared to conventional central venous catheters (0.5 These measures have dramatically increased hospital administrators’ attention to CLABSI rates, and have likely had an effect of reducing actual rates of CRBSI. per 1,000 catheter-days).

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Neonatal Jaundice

Pediatric Emergency Playbook

Also, newborns have a double-whammy administrative load. He will be dehydrated – possibly in shock. 2006 Jun;11(3):214-24. Newborns are terrible at answering emails. There is a lot of unread unconjugated bilirubin is floating around. The liver and spleen are just not able to keep up. He will be irritable. Pediatrics.