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Pre-Hospital Antibiotics in Sepsis?

RebelEM

Until that time, the best evidence indicates that in the sickest patients (i.e. septic shock) earlier antibiotics most likely makes a difference in morbidity and mortality, however earlier antibiotics in all patients who meet SIRS criteria may not be a good thing and potentially cause more harms than good. to 0.97; p = 0.02

Sepsis 126
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Heat-Related Illness

Pediatric Emergency Playbook

The Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletics Programs: Best-Practices Recommendations. 2008 Nov;36(11):2226-37. In: Pediatric Emergency Medicine, Baren JM, Rothrock SG, Brennan JA, Brown L (Eds), Saunders Elsevier, Philadelphia 2008. J Athl Train. 2013 Jul-Aug; 48(4): 546–553.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Consider performing a RUSH exam (that is rapid ultrasound for shock and hypotension) to identify the cause. ASMBS pediatric committee best practice guidelines. From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled!

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Pediatric Pain

Pediatric Emergency Playbook

Topical ethyl chloride vapo-coolant offers transient pain relief due to rapid cooling and may be used just prior to an IV start ( Farion 2008 ). Needleless lidocaine injectors may facilitate IV placement without obscuring the target vein ( Spanos 2008 , Lunoe 2015 ). Unexplained tachycardia may be the early signs of shock.

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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

Jeff: If those figures seem a bit high, another CDC study found that in a general population survey of a quarter million people between 2006-2008, 9% met the criteria for major depression. Jeff: And while it seems crass to even mention the financial impact, the number is shocking - suicide has an estimated economic burden of $5.4