Remove 2014 Remove Best Practices Remove Ultrasounds
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Ultrasound of the Month: No Definitive Yolk Sac, No Definitive IUP!

Taming the SRU

A bedside ultrasound is completed to assess the location of the pregnancy. A radiology performed ultrasound is ordered and has similar findings– Impression: no definitive IUP with a small amount of free fluid within physiologic limits. Laboratory evaluation reveals a hemoglobin and hematocrit of 12.6/37.1

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

EB Medicine

Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. overall, these surgeries are relatively safe with one 2014 review publishing a 10-17% overall complication rate and a perioperative 30 day mortality of less than 1%. Jeff: Next up is ultrasound.

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ToxCard: Radiation-Induced Skin Injury

EMDocs

Imaging: In severe cases, imaging with ultrasound, CT or MRI may be useful in assessing the extent of tissue injury and in further evaluating other etiologies including infection and worsening malignancy. Published 2014 Jan 31. Physical Examination: Inspect for erythema, blistering, and ulceration. J Appl Clin Med Phys. BMC Cancer.

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Pediatric Pain

Pediatric Emergency Playbook

A special note on codeine : Tylenol with codeine (“T3”) has never been a very effective pain medication, as up to 10% of patients lack enzymatic activity to metabolize it into morphine, its active form ( Crews 2014 ). neutropenia) ( Babl 2011 , Dokko 2014 ). 2014 Sep 6;12:39. 2014 Apr;95(4):376-82. Clin Pharmacol Ther.

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Acute Scrotum

Mind The Bleep

Normally identified on scrotal exploration (being performed for presumed torsion) as ultrasound is not always diagnostic. and (2022), A BURST-BAUS consensus document for best practice in the conduct of scrotal exploration for suspected testicular torsion: the Finding Consensus for Orchidopexy in Torsion (FIX-IT) study.

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IV fluids in the ED: When do we really need them?

EMDocs

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. Ultrasound in Sepsis and Septic ShockFrom Diagnosis to Treatment. Tullo et al.