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Infective Flexor Tensosynovitis (Flexor Sheath Infection)

Mind The Bleep

Operative management: Surgical washout of the flexor sheath within 24 hours of the decision to operate. Non-operative management: An experienced hand surgeon should make the decision for non-operative management. Non-operative management: An experienced hand surgeon should make the decision for non-operative management.

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Managing the Patient with Alcohol Intoxication

RebelEM

Wernicke’s Encephalopathy (WE) : WE is present in over 12% of patients with alcohol use disorder (AUD) (Donnino 2007) and is misdiagnosed in up to 80% of patients (Sechi 2007), and carries a mortality rate of 10-17%. As always, document clinical sobriety before discharge. 2007 Dec;50(6):715-21. Epub 2007 Aug 3.

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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. Do all infants with ALTEs need to be admitted?

EKG/ECG 98
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Proper Preparation for Mass Casualty Incidents

Northwestern EM Blog

This post will discuss a brief overview of hospital planning and operational setup with key elements of a disaster response from events that cause high numbers of blunt trauma, penetrating trauma, burns or crush injuries that may be seen following explosive events, mass shootings, or large scale motor vehicle collisions, to name a few.

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MI in Children

Pediatric Emergency Playbook

The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. Fontan Operation and the Single Ventricle. 2007; 2:2-11. 2007; 5(3):172-176. Take the child seriously who has disproportionate symptoms to what should be a minor injury. Congenit Heart Dis.

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Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

Nachi: Few things are more important prior to discharge of an abdominal pain patient than documenting repeat exams and a PO trial. Nachi: A 2007 study suggests that using the Alvarado score along with bedside ultrasound might allow for rapid and inexpensive diagnosis of appendicitis. Jeff: True. The max score is therefore 10.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. 2007 Oct; 33(3): 233–239. Syncope and cause of death were identified by codes from the International Classification of Disease, Ninth Revision. 2) Boston syncope rule: J Emerg Med.