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emDOCs Podcast – Episode 88: ED Evaluation of Diverticulitis

EMDocs

Systematic review found increasing age, diffuse rather than localized abdominal pain, guarding or pain with rebound, initial episode of diverticulitis, steroid use, fever, constipation and vomiting, elevated CRP, and elevated WBC count were associated with greater risk of complication such as abscess or perforation (Bolkenstein 2017).

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IV fluids in the ED: When do we really need them?

EMDocs

The latest Society of Critical Care Medicine (SCCM) sepsis guidelines from 2021 recommend giving patients with signs of hypoperfusion an initial 30 ml/kg bolus as a best practice statement 13 based on the PROCESS, 14 ARISE, 15 and PROMISE 16 trials. link] During the 2017 IV fluid shortage, Patino et al. 2017 Oct 1;196(7):856863.