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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. If the patient has asymptomatic elevated BP, the optimal management strategy is not clear, and there are no data that treating asymptomatic elevated BP (marked versus not) in the acute care setting improves clinical outcomes.

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SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

The Skeptics' Guide to EM

This is something that has only happened once since 2006 ( Ottawa Citizen March 28, 2023 ) The study referred to in the editorial looks at the experience in Denmark with a reconfiguration of their emergency healthcare services ( Flojstrup et al 2023 ). It was a stepped-wedge reconfiguration of the entire Danish emergency healthcare system.

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SGEM#182: Platelet Transfusions for Intracerebral Hemorrhage (PATCH) – Don’t Do It.

The Skeptics' Guide to EM

Platelet transfusion versus standard care after acute stroke due to spontaneous cerebral haemorrhage associated with antiplatelet therapy (PATCH): a randomised, open-label, phase 3 trial. Non-contrast head CT shows a hemorrhagic stroke. [display_podcast] Date: June 5th, 2017 Reference: Baharoglu et al. Lancet 2016. Lancet 2016.

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Is Sugar Bad for Your Heart? How Sugar Affects Heart Health

AED Leader

An umbrella review published in BMJ in 2023 revealed that dietary sugar consumption is associated with 10 cardiovascular outcomes, a greater risk of coronary artery disease, and an increased risk of all-cause mortality. Clogged blood vessels leading to the brain can lead to a stroke or vascular dementia.

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The Higher Tech Kid in the ED

Pediatric Emergency Playbook

Also used for severe MS, stroke, TBI, chronic pain. Outcomes of Children Bridged to Heart Transplantation With Ventricular Assist Devices: A Multi-Institutional Study. 2006; 113: 2313-2319. Are VNS safe in everyday life? Verify the medication and identify the toxidrome if symptomatic. Circulation.

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Pediatric Status Epilepticus

Pediatric Emergency Playbook

Case 3: Headache and Arteriovenous Malformation Unlike in adults, stroke in children is divided evenly between hemorrhagic and ischemic etiologies. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. Incidence, cause, and short-term outcome of convulsive status epilepticus in childhood: prospective population-based study.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. 2006 May;34(5):379-87.