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EM@3AM: Stercoral Colitis

EMDocs

2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Annals of emergency medicine, 82(1), 3746.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med. doi: 10.1136/archdischild-2014-306851. Epub 2014 Sep 8. 2014 Oct;29(10):1299-304. Epub 2014 Feb 13. Fun fact for animal lovers!- J Surg Res. 2019 Sep;241:112-118. doi: 10.1016/j.jss.2019.03.038. 107.498345.

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

RESUS SCENARIO Picture this: you just arrived at your shift at the local emergency department. 13 That is to say nothing of the effect that the type and response to shock has on the individual patients involved in these studies. May 2014; PMID: 24495437. 17 Of course, do not forget your physical exam. Ultrasound Med Biol.

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Episode 7: Sepsis

PHEM Cast

Am J Emerg Med. One year mortality of patients treated with an emergency department based early goal directed therapy protocol for severe sepsis and septic shock: a before and after study. Severe Sepsis in Pre-Hospital Emergency Care. Academic Emergency Medicine. 2014 Oct 28;:1–9. Am J Emerg Med.

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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

In many emergency departments (ED), US machines are readily available and can be used to rapidly assess and monitor patients with acute dyspnea at the bedside. What They Did: Design: Randomized, controlled, blinded-outcome trial Sites: Three emergency departments in Denmark Duration: October 9, 2019 to May 26, 2021.

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The CLOVERS Trial

Taming the SRU

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. Each subsequent one-hour delay in antimicrobial administration increases mortality by 35% in patients with septic shock (Im, Kang et al.

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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. Jeff: A 2014 study even showed an up to 80% reduction in the likelihood of developing DM2 postoperatively at the 7-year mark. Am J Emerg Med.