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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage. DON’T forget to put on your Personal Protective Equipment as well! Well… sometimes it starts again.

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Updated: How To Detect Bucket Handle Injuries With CT

The Trauma Pro

But without a more convincing exam, it is difficult to convince yourself to operate immediately on these patients. With newer scanners, radiologists are better able to detect subtle areas of hypoperfusion as well. If the exam worsens, operate. Radiology 265(3):678–693, 2012. PMID: 35830194; PMCID: PMC9280606.

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ToxCard: Iron

EMDocs

5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Published 2012 Jul 1. 2012 Aug;39(8):719-24. 9 Typical dose: Polyethylene glycol (Go-Lytely ) 25 mL/kg/hr in small children and 1.5-2 2 L/hr in adults. Arch Pediatr Adolesc Med.

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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2012 May-Jun;13(3):283-289. Avoid medications that induce constipation. Korean J Radiol. link] Sacerdote, M.,

EMS 98
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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Point-of-care ultrasound may show well-demarcated, round, and hypoechoic material in the stomach and first part of the duodenum, though it can underestimate the number of beads present. Mirza and Sheikh reported perhaps the first unfortunate case in 2012. They passed away a few days after a second operation. 2012 Jan;3(1):6.

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SAEM Clinical Images Series: What’s Coming Out of Your Eye?

ALiEM

On arrival to our emergency department, the patient expressed continued eye pain with bloody discharge as well as blurry vision from his right eye. An emergent ophthalmology consult is needed to plan for operative repair. 2012 Feb;26(2):212-7. The patient should be given an eye shield, IV antibiotics, and tetanus prophylaxis.

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Policy Playbook: Labor Actions and Unionization in Healthcare

EMDocs

3 Increasing Strikes and Unions Labor actions in healthcare can disrupt normal hospital operations, potentially impacting costs and threatening patient quality of care. Unionization of healthcare providers can create opportunities to improve staff’s financial and general well-being, but may also facilitate future strikes.