Remove 2014 Remove Dehydration Remove Shock
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

EKG/ECG 40
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Are we on the right TRACT? 

Don't Forget the Bubbles

3,950 children were recruited between September 2014 to May 2017. These were presented as hazard ratios and included fever at presentation, previous transfusion ever, haemoglobinuria, malaria, sickle cell disease on enrolment, HIV, evidence of sepsis, malnutrition, shock, hypothermia, and dehydration. Do you believe the results?

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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%. Nachi: So we have a lot to cover!

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Travel-Related Illnesses in Children

Pediatric EM Morsels

2014 Dec;31(6):678-87. Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2014 Feb;69(2):144-51. smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 2 mcg/kg, max 100 mcg) while obtaining IV access 20 IV/IM ketorolac (1 mg/kg, max 15 mg) Morphine (05-0.1 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 2014; 59:e10. Full blown sepsis and toxic shock syndrome. Clin Infect Dis 2011; 52:e18. Stevens DL, Bisno AL, Chambers HF, et al. Fortunately, those are rare.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Symptoms may be non-specific in the beginning with patients quickly developing septic shock and disseminated intravascular coagulation. Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Rotavirus gastroenteritis and dehydration C.