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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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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

2006 Jan 17;47(2):269-81. Epub 2006 Jan 4. This 1910 description by Lewis serves well to this day to remind us of the 2 principal clinical situations in which electrical alternans is most often encountered: i ) Supraventricular reentry tachycardias; and , ii ) Pericaradial tamponade. Pacing Clin Electrophysiol. doi: 10.1111/j.1540-8159.2007.00849.x.

EKG/ECG 131
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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. Volume resuscitation in patients with high-voltage electrical injuries. Resuscitation.

Burns 80
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Accidental Tracheostomy Decannulation

Northwestern EM Blog

2006): 576-579. 1,2 As you have outlined, understanding both the chronicity of the tracheostomy as well as the indication for the procedure are key history when managing a displaced tube. As with any high stress situation in resuscitation, it helps to fall back onto our ABCs, airway being of principle importance here.

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Episode 6: Oxygenation

PHEM Cast

Effects of face mask ventilation in apneic patients with a resuscitation ventilator in comparision with a bag-valve-mask. 2006: 30(1); 63-67. video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. Journal of Emergency Medicine.

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Ultrasound of the Month: Gallbladder Perforation

Taming the SRU

Risk factors associated with increased risk of acute perforated cholecystitis include age greater than 65 years old, as well as diabetes mellitus, atherosclerosis, or organ failure (1, 2). The most well-accepted classification of acute perforated cholecystitis is the Niemeier classification which is outlined as below (3,6).

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Sim Workshop at TTC Copenhagen

The Injectable Orange

While well evaluated, you see the residents go back to the shop floor and struggle to apply any of the lessons that the group agreed had been take homes from the previous sim session. How do they do it so well?” Mental practice: a simple tool to enhance team-based trauma resuscitation. Well done”……. Check back.