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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes. Ischemic Strokes: Ischemic stroke is characterized by a blockage of a blood vessel in the brain. The BP targets for patients with ischemic strokes depend on the available therapeutic options.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

At the same time, newer research has shown that the diagnostic safety despite withholding contrast in abdominal pain may actually be overstated. However, until more research data is available on this, the results suggest that clinicians should use caution not to overly rely on NCCT to exclude serious intraabdominal pathology.

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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). 2008 Apr;39(4):1347-8. Epub 2008 Feb 28. PMID: 1933914. Acad Emerg Med. 2016 Aug;23(8):878-84. doi: 10.1111/acem.13014. 107.498345.

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Dilated Cardiomyopathy in Children

Don't Forget the Bubbles

Stimulation of baroreceptors results in a catecholamine-mediated increase in heart rate , stroke volume, contractility, and systemic vascular resistance (SVR). Over a 10-year period from 2008 to 2018, 334 heart transplants were performed on children in the UK. Activation of the RAAS increases preload – promoting fluid retention.

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SGEM#325: Thin Ice – Subgroup Analysis of the THAWS Trial

The Skeptics' Guide to EM

Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. Date: March 31st, 2021 Guest Skeptic: Prof Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. THAWS RCT Substudy.

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Rapid Blood Pressure Lowering in Patients with Acute Intracerebral Hemorrhage

All Ohio EM

By Mike Pallaci, DO Research Question: Does rapid lowering of blood pressure improve the outcome in patients with intracerebral hemorrhage? A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Delusions of benefit in the International Stroke Trial. 2007;38:2001-2023.

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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. Dr. Prescott, currently retired, was Chief Academic Officer of the Association of American Medical Colleges from 2008-2021 where he says he worked with “every single school of medicine in the U.S.,” Prescott, MD, another member of the committee. “We

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