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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Korean J Radiol.

EMS 94
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ToxCard: Iron

EMDocs

Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Published 2012 Jul 1. 2012 Aug;39(8):719-24. Basic assessment: airway, breathing, circulation. Antiemetics as needed.

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EM@3AM: Retroperitoneal Hematoma

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. However, this patient’s response to fluid resuscitation, though only minimal to modest, indicates his ongoing bleeding is temporized with typical volume-mediated resuscitation.

EMS 93
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EM@3AM: Endometritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 2012 May;27(5):1368-74. Epub 2012 Mar 14. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David. “Endometritis” Encyclopedia Britannica, 6 Feb.

OB/GYN 81
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Trauma Resuscitation Updates

RebelEM

In the initial management of trauma patients there are 4 key principles that should be followed: Control bleeding Restore tissue perfusion Minimize iatrogenic injury from the resuscitation itself Promote hemostasis References: Dutton RP et al. Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use. Oct 2012; PMID: 23043910 Kumar A, et al. Arterial Pulse Pressure Variation with Mechanical Ventilation. Am J Respir Crit Care Med. Jan 2019; PMID: 30138573.

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52 in 52 – #41: The CENSER Trial

EMDocs

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm. vs 48.4% (OR 3.4,

Sepsis 86