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Imported Malaria

Pediatric EM Morsels

For non-complicated malaria use oral Co ART em. 2016 Apr; 32(4): 227–231. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. vivax or P.

Seizures 281
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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. The post EM@3AM: Amniotic Fluid Embolism appeared first on emDOCs.net - Emergency Medicine Education. Electronic address, p. link] j.ajog.2016.03.012

EMS 111
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ToxCard: Iron

EMDocs

Blood transfusion for clinically significant blood loss. 5 Consider exchange transfusion in addition to deferoxamine for serum iron concentrations greater than 1000 g/dL, or those who clinically deteriorate despite supportive care and chelation. McGraw Hill; 2016. Hernandez SH, Nelson LS. & Rangan, C.

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

RebelEM

What They Did Single-center randomized controlled study design performed by the Department of Hepatology & Liver transplantation in New Delhi Study participants, investigator clinicians, data collectors, and data analysts were blinded Investigators recruited participants from February 27, 2016 – March 3, 2018. Ann Intern Med.

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Vasopressor Nonresponse

Northwestern EM Blog

And for most forms, EM physicians are not typically shocked by shock. Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) They have a toolbox of strategies, mainly fluids and vasopressors, to stabilize these critically ill patients. Curr Opin Crit Care.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! Jeff : I’m an EMS fellow, what can I say… Anyway, on to my favorite section -- prehospital care. 1991 marked the first standardized definition. Sepsis-3!!

Sepsis 40
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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

Her initial vital signs are blood pressure 76/54 mmHg, heart rate 128 bpm, temperature 37.0˚ What is the EM physician’s role in the stabilization of unstable pelvic injuries? If a pelvic binder was placed by EMS, inquire whether this was placed empirically or if mechanical pelvic instability was already elicited.