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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time. At 6 to 8 mL/kg.

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emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis

EMDocs

Included patients had confirmed uncomplicated diverticulitis but no immunosuppression, peritonitis, sepsis. 2017 Jan;104(1):52-61. Patients with sepsis and immunocompromise were not included. No evidence of sepsis. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br  Br J Surg.  Br J Surg.

Sepsis 114
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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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Diagnostics: Blood Transfusion Reactions

Taming the SRU

Adverse reactions to transfusion of blood products and Best Practices for Prevention.” Mild Reactions Transfusion Reaction Frequency Timeline Presentation Management Allergic - 1-3% with platelet and plasma components - 0.1-0.3% Accessed 8 Sept. Frazier, Susan K., Critical Care Nursing Clinics of North America , vol.

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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

This is true in life-threatening conditions such as sepsis. However, when children do not have features of sepsis, oral antibiotics are equally effective. The take home is that although IV antibiotics are key in sepsis management, oral antibiotics are equally as effective as IV antibiotics for children without critical illness.

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

EMDocs

Sepsis There has been much controversy over the last two decades around the various nuances of volume resuscitation in ED patients with suspected sepsis, much of which goes beyond the scope of this limited review. link] During the 2017 IV fluid shortage, Patino et al. 11 A study by Stephan et al. Andrews et al. Inwald et al.