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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This document is an update of guidelines first published in 2000, and then updated in 2007. This guideline revision is particularly timely as EMS systems have shown their abilities to dramatically improve survival and neurologic outcome after cardiac arrest, STEMI, acute stroke, and other time-sensitive conditions. 2019;154(7):e191152.

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EM@3AM: Hyperthermia

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. The post EM@3AM: Hyperthermia appeared first on emDOCs.net - Emergency Medicine Education.

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Large bowel obstruction: ED presentation, evaluation, and management

EMDocs

Measures to optimize the patient for surgical intervention and treat shock, including antibiotics and fluid resuscitation, are associated with improved outcomes in these patients. 2007 Jan 21;13(3):432-7. 5 Non-perforated obstruction due to malignancy will usually be managed with urgent surgery. World J Gastroenterol.

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

EMDocs

For patients without frank signs of shock, it is reasonable to trial oral hydration prior to moving on to IV fluids. 2007 Feb;24(2):124125. The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS): A Randomized Pilot Study. Fluid resuscitation in sepsis: the great 30 mL per kg hoax. Ann Emerg Med.