Remove 2016 Remove Anaphylaxis Remove Shock
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emDOCs Podcast – Episode 85: Tricky Cases Part 1

EMDocs

Differential Diagnosis for patient: Infectious endocarditis, CNS infection or abscess, necrotizing soft tissue infection, toxic shock, obstructive pyelonephritis, toxic ingestion, TTP, anaphylaxis with primarily hemodynamic effects, thromembolic phenomenon. Learning points: Anatomic urinary obstruction with septic shock is deadly.

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Vasopressor Nonresponse

Northwestern EM Blog

Written by: Elizabeth Stulpin, MD (NUEM ‘23) Edited by: Aaron Wibberly, MD (NUEM ‘22) Expert Commentary by : Joshua Zimmerman, MD (NUEM ‘17) Non-Response to Vasopressors Shock is defined as a state of cellular and tissue hypoxia resulting in end organ dysfunction. And for most forms, EM physicians are not typically shocked by shock.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Epub 2016 Dec 29. Give appropriate fluids, vasopressors, and antibiotics. Default to using whichever score your oncologist is more comfortable with. Application of the MASCC and CISNE Risk-Stratification Scores to Identify Low-Risk Febrile Neutropenic Patients in the Emergency Department. Ann Emerg Med. 2017 Jun;69(6):755-764. 2016.11.007.

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. But what is the drug really approved for, how does it actually work, and what are some of the off-label (for now) uses of TXA that add value to this medication? It is excreted by urine so careful dosing is required if used in kidney disease.