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Glasgow Coma Scale in Children

Pediatric EM Morsels

Borgialli DA, Mahajan P, Hoyle JD Jr, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). 2006 May;34(5):379-87. Fun fact for animal lovers!- PMID: 1933914. Acad Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. 2005.10.012.

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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. BMJ (Clinical research ed.). 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). PMID: 8874253 Oosterheert JJ, Bonten MJ, Schneider MM.

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Episode 7: Sepsis

PHEM Cast

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. These tables are used when assessing the usefulness of a test (or it’s sensitivity and specificity), and, when researching how useful tests are we need the majority of patients to fall into the green boxes.

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

EB Medicine

This month, we’ll be talking Updates and Controversies in the Early Management of Sepsis and Septic Shock. Optimal management of septic patients has been a source of intense research, stemming from the landmark study by Rivers in 2001. Jeff : Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice.

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Big Labs, Little People

Pediatric Emergency Playbook

There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Pediatrics.

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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

Emergency Medicine research was and still is tremendously underfunded,” says John E. He’d hoped to establish a lead federal agency and funded emergency care research center at NIH, as well as concerted national attention to solve ER crowding, boarding inpatients in hallways and EMS diversion. Is it working?

EMS 45
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Milestones of Modern Progress in Emergency Care

Advanced Emergency Nursing from AENJ

Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." 1950s & 1960s Resuscitation Research. Committee on Shock. Farrington, J.