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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Management of drug and alcohol withdrawal. 2016; 83(1): 67-79. Outpatient management of alcohol withdrawal syndrome. Inpatient management of acute alcohol withdrawal syndrome. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold N Engl JMed. 2003; 348:1786-1795.

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EM@3AM: Murine Typhus

EMDocs

2016 Oct;29(5):433-9. State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus. Curr Opin Infect Dis. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll.

EMS 105
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Glasgow Coma Scale in Children

Pediatric EM Morsels

Consider other indicators of need for airway management, such as gag reflex. 2016 Aug;23(8):878-84. Epub 2016 Aug 1. GCS scores are validated in trauma populations , but it has its limitations in the medical populations. It’s complicated. Less than 8 doesn’t always mean intubate ! References : Teasdale G, Jennett B.

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Proning for ARDS

Northwestern EM Blog

Relative contraindications are several, including difficulty with airway management, facial trauma, ventricular assist device, intra-aortic balloon pump, severe chest wall lesions or rib fractures, massive hemoptysis, unstable pelvic or long bone fractures, and open abdominal wounds. Should we prone non-intubated patients in the ED?

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Episode 6: Oxygenation

PHEM Cast

Preoxygenation and Prevention of Desaturation During Emergency Airway Management. 2016: 28(1); 67-72. 2016; 193(3): 273-280. 2016 [cite Date Accessed]. Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Establishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. 2016 Dec 14;20(1):102. 2016 Mar;34(3):578–81. 2016 Dec;51(6):636–42. J Trauma Acute Care Surg. 2015 Feb;78(2):295–9. Am J Emerg Med. Moayedi S, Witting M, Pirotte M.

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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Cochrane Database of Systematic Reviews 2016, Issue 11. Guidance documents College of Paramedics Statement on Intubation, available here. Tracheal intubation. Sunde, G.A.,