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EM@3AM: Amniotic Fluid Embolism

EMDocs

We’ll keep it short, while you keep that EM brain sharp. According to EMS, she was in labor at home and delivered the newborn shortly after they had loaded her into the ambulance. .” Amniotic fluid embolism: antepartum, intrapartum and demographic factors. 2015 May;28(7):793-8. J Matern Fetal Neonatal Med.

EMS 111
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EM@3AM: Endometritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 2015 Feb 2;2015(2):CD001067. The post EM@3AM: Endometritis appeared first on emDOCs.net - Emergency Medicine Education. She was discharged 3 days prior after a cesarean delivery to a single, full term, live born infant complicated by premature rupture of membranes.

OB/GYN 89
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Trauma Resuscitation Updates

RebelEM

JAMA 2015 [7] The PROPPR Trial 680 severely injured adult trauma patients Patients randomized to Plasma, Platelets, and PRBCs in a 1:1:1 ratio vs 1:1:2 ratio No difference in overall mortality at 24 hrs BUT 1:1:1 achieved hemostasis faster and fewer experienced death due to exsanguination at 24hrs Crombie N et al. NEJM 1994. [2] NEJM 1994. [2]

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IVC Distensibility Index vs Collapsibility Index: Using the Correct Index

RebelEM

Jan 2015; PMID: 25559473 Airapetian N, et al. Does inferior vena cava respiratory variability predict fluid responsiveness in spontaneously breathing patients. Nov 2015; PMID: 26563768 Yartsev, Alex. Use M-mode Doppler to acquire information on IVC variability with at least three respiratory cycles. Echocardiogr.

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emDOCs Revamp: Esophageal Perforation

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

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Episode 7: Sepsis

PHEM Cast

And from our buddies at HEFT EM CAST: [link] A bit more detail covering some of the research in an easy to understand way. An amazing podcast on the subject can be found at SMART EM: SMART Testing: Back to Basics As always, any feedback, comments etc. 2015 Aug 26;:1–31. 2015 Oct 17;:1–16. 2015 Apr 24;:1–10.

Sepsis 52
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SGEM#222: Rhythm is Gonna Get You – Into an Atrial Fibrillation Pathway

The Skeptics' Guide to EM

It is like normal saline vs. Ringer’s lactate for fluid resuscitation, steroids vs. no steroids for sepsis, or Coke vs. Pepsi. comparing diltiazem vs. metoprolol in the management of atrial fibrillation or flutter with rapid ventricular rate in the emergency department ( J Emerg Med 2015 ).