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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

Some institutions developed a tier-based system for outpatient imaging as well which was updated in real-time. CT scans have become an integral part of the ED diagnostic process, serving as a diagnostic tool to aid in determining appropriate disposition, risk assessment, and guiding admission decisions. J Am Coll Radiol. doi:10.1016/j.jacr.2023.06.032

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Diagnostics: Inflammatory Markers

Taming the SRU

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2008 review in the International Journal of Medicine on spinal epidural abscess (SEA) agreed that inflammatory markers (specifically ESR and CRP) are generally sensitive in the diagnosis of SEA, but are not specific. 2008 Aug;75(8):557-66.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

2008 Apr;39(4):1347-8. Epub 2008 Feb 28. PubMed: 29631516] van Heuven AW, Dorhout Mees SM, Algra A, Rinkel GJ. Validation of a prognostic subarachnoid hemorrhage grading scale derived directly from the Glasgow Coma Scale. doi: 10.1161/STROKEAHA.107.498345. 107.498345. PMID: 18309166.

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Dilated Cardiomyopathy in Children

Don't Forget the Bubbles

The baby’s parents tell you that the baby hasn’t been feeding well for a few days and today has been very sleepy. Stimulation of baroreceptors results in a catecholamine-mediated increase in heart rate , stroke volume, contractility, and systemic vascular resistance (SVR). What are your differentials? Bad bronchiolitis ?

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

The Skeptics' Guide to EM

mg/kg) was beneficial for unknown onset stroke above a certain core size. Stroke 2021 Case: A 74-year-old man presents to the emergency department after waking up with left sided weakness. He was last seen well when going to bed at 10pm the night before. Those were ECASS-3 in 2008 and the NINDS trial from 1995.

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Is it Time to Take Another Look at the State of Emergency Care in the U.S.? 

ACEP Now

“We wanted to reach emergency physicians, nurses and others working in trauma as well as those at Health and Human Services and the Centers for Disease Control. as well as working closely on behalf of the association on projects with the White House and the Departments of Veterans Affairs, Defense, and Health and Human Services.

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