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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. What can you do from the Emergency Department if suspected?

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Episode 33 - Acute Bronchiolitis: Assessment and Management in the Emergency Department (Pharmacology CME)

EB Medicine

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. All were UTIs.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. In the 1950’s travel accounted for 25 million international tourists. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude. 2021 Dec 1;37(12):e1315-e1320.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

This month, we are sticking in the abdomen for another round of evidence-based medicine, focusing on Emergency Department Management of Patients With Complications of Bariatric Surgery. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. At 6 to 8 mL/kg.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

Critical Care Medicine 41(12):p A191, December 2013. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. C or 100.4 mg/kg, max 0.4

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

2013-0421 Tighe M, Afzal NA, Bevan A, et al. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Maybe parents will have to thicken the feeds, but I do not recommend this in the emergency department. J Pediatr Gastroenterol Nutr. 2018;66(3):516-554. doi: 10.1097/MPG.0000000000001889