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EM@3AM: Basilar Artery Occlusion

EMDocs

Answer : Basilar Artery Occlusion Epidemiology:  Basilar artery occlusion (BAO) is a subset of the posterior circulation strokes. Posterior circulation strokes are estimated to account for 20% of all strokes, with BAO accounting for ~1% of all strokes. Symptoms may range from days to months prior to stroke onset.

EMS 97
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Heat-Related Illness

Pediatric Emergency Playbook

Pediatrics 2011; 128:e741. Heat illness and heat stroke. Council on Sports Medicine and Fitness and Council on School Health, Policy statement—Climatic heat stress and exercising children and adolescents. Casa DJ et al. J Athl Train. 2013 Jul-Aug; 48(4): 546–553. Hyperthermia. Jardine DS. Pediatr Rev 2007; 28:249.

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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]. A 2011 meta-analysis in the journal of Academic Emergency Medicine found ESR, CRP, and PCT were not acutely useful in the diagnosis of septic arthritis due to wildly varying sensitivities and specificities between studies. 2011 Jan;3(1):118-27.

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Adventures in RSI

Pediatric Emergency Playbook

That is not usually a problem, but for those with preexisting or inducible hyperkalemia, it can precipitate an arrest, as in renal failure, underlying neurologic or myopathic conditions like multiple sclerosis, muscular dystrophy, ALS, or those who had a stroke or a burn more than 72 hours prior. Relax, it’s a myth.

Shock 40
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Pediatric Pain

Pediatric Emergency Playbook

Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. neutropenia) ( Babl 2011 , Dokko 2014 ). Pediatric burns should be assessed carefully and treated aggressively. Minor burns can be treated topically and with oral medications. 2011 Jun;27(6):496-9. Acad Emerg Med.

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OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.

Dr. Smith's ECG Blog

References Law YM, Lal AK, Chen S, Čiháková D, Cooper LT Jr, Deshpande S, Godown J, Grosse-Wortmann L, Robinson JD, Towbin JA; American Heart Association Pediatric Heart Failure and Transplantation Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in the Young and Stroke Council. Circulation. doi: 10.1161/CIR.0000000000001001.