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Less is More. Again: Speed of IV Fluid Administration in Pancreatitis (WATERFALL Trial)

RebelEM

Background: Standard emergency department management of acute pancreatitis has focused on aggressive hydration, analgesia and investigation for an underlying reversible cause (eg gallstones). Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis (WATERFALL). Article: de-Madaria E et al. cc/kg/hour.

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Pediatric Submersion Injury Tips

ACEP Now

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. Am J Emerg Med.

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Case Report: a High-Voltage Victim

ACEP Now

A 44 year-old male with unknown past medical history came by emergency medical services (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. Electrical injuries in the emergency department: an evidence-based review. Emerg Med Pract.

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SGEM#207: Ahh (Don’t) Push It – Pre-Hospital IV Antibiotics for Sepsis.

The Skeptics' Guide to EM

The Lancet Nov 2017. The Lancet Nov 2017. Other serious time-dependent conditions such as myocardial infarction and trauma have been improved significantly with emergency medical services (EMS). It has been reported that over half of patients with sepsis arrive to the emergency department via ambulance [1].

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Best Practices for Upper Gastrointestinal Hemorrhage

ACEP Now

Fluid resuscitation should be initiated. a Sengstaken-Blakemore tube) may be used as a temporizing measure for unstable UGIB but should not delay emergent esophagogastroduodenoscopy (EGD). Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis.

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The CLOVERS Trial

Taming the SRU

doi:10.1056/NEJMoa2212663 BACKGROUND Sepsis, including severe sepsis and septic shock, is a frequently encountered condition in the emergency department and carries a high mortality rate. 2017, Silversides, Major et al. Bernard (2017). N Engl J Med. 2023;388(6):499-510. 2021, Jarczak, Kluge et al. Andrews, B., Bauer, M.,

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Neonatal Hypotension

Don't Forget the Bubbles

The other important moment to always think of the heart (sorry, cardiologists, I don’t think about the heart 24/7) is when a collapsed neonate presents to your emergency department, especially if blood pressure is present. This is one of the situations where you must not forget to feel for femoral pulses. Patel, A., & Fanaroff, J.

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