Remove 2006 Remove Fluid Resuscitation Remove Wellness
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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e.

EMS 96
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Electrical injuries

Don't Forget the Bubbles

The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Narayanan, K., and Marijon, E., Electrical injury. and Trohman, R.G.,

Burns 80
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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. Let’s start with fluids.

Sepsis 40
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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

The most common findings on ECG are ST elevation , most often in the anterior precordial leads, as well as sinus tachycardia and QT interval prolongation. Additional fluids will not improve her condition and may worsen it. 2006 Jul;27(13):1523-9. Troponin and B – type natriuretic peptide are often elevated. Eur Heart J.

EMS 102
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emDOCs Revamp – Acute Chest Syndrome

EMDocs

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2006 Jul;134(1):109-15. 2006 Dec 13;2(91):2852-7. C or 100.4 mg/kg, max 0.4

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

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.