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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med. J Emerg Med.

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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). World J Emerg Surg 2023 PMID: 36918947 3. Int J Emerg Med 2009 PMID: 20157465 4. Ong MEH, Chan YH, Oh JJ, et al.

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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department.

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Episode 6: Oxygenation

PHEM Cast

video cast from Emergency Medicine colleagues in the States discussing and demonstrating techniques for optimal bag-valve-mask ventilation. References Wilmalasena Y, Burns B, Reid C, Ware S., Annals of Emergency Medicine. 2015; 65(4): 371-376. Annals of Emergency Medicine. The Journal of Emergency Medicine.

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REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

RebelEM

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. of symptom-triggered phenobarbital versus symptom-triggered lorazepam in the emergency department (n=44). A randomized, blinded clinical trial (Hendey et al.)

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.