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REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

RebelEM

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. of symptom-triggered phenobarbital versus symptom-triggered lorazepam in the emergency department (n=44). A randomized, blinded clinical trial (Hendey et al.)

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Electrical Injuries: Hertz So Bad

Pediatric Emergency Playbook

Case 1: Toddler with an oral commissure burn An electrical burn to the angle of the mouth cauterizes superficial bleeding vessels, and hours later the wound becomes covered with a white layer of fibrin, surrounded by erythema. Most patients do well, and the burn heals by secondary intention. Acad Emerg Med. J Emerg Med.

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. ng/mL, 0.25-0.5

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The Intersections of Physical and Mental Health Disorders

ACEP Now

In the emergency department (ED), physicians face the challenge of making rapid decisions that can significantly impact patient outcomes. Dr. Harrell is a PGY-1 emergency physician at Houston Health. Dr. Bower is an emergency physician at Houston Health. Burns E, Buttner R. Eur J Cardiothorac Surg. Published 2022.

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EM@3AM: Basilar Artery Occlusion

EMDocs

2011, 10:1002-1014. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department. link] Burns JD, Rindler RS, Carr C, et al. Top of the basilar syndrome. Lancet Neurol. Arch Neurol. 2004;61(4):496–504. doi:10.1001/archneur.61.4.496 61.4.496 Navi BB, Kamel H, Shah MP, et al.

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Podcast: Cervical Spine Injuries & Imaging in Children

PEMBlog

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study.

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Foreign Bodies in the Head and Neck

Pediatric Emergency Playbook

11 Beware the “double-ring” sign: this is a button battery13 This is an emergency: the electrolyte-rich mucosa conducts a focal current from the narrow negative terminal of the battery, rapidly causing burn, necrosis, and possibly perforation. Emergent removal is required. Am J Emerg Med. Thieme; 2011. 2013.12.028.