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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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COVID-19 and Mental Health

Northwestern EM Blog

The comparator for each year’s odds of suicide is a sum of the odds between April 2017 and March 2020. Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management. Lascelles, K., Gilbert, S., & Silverman, M. The Lancet Psychiatry.

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

EMDocs

in 2017 28 showed increased mortality in sepsis patients in Zambia who received early and aggressive IV hydration compared with those in the standard therapy group. link] During the 2017 IV fluid shortage, Patino et al. 2017 Oct 1;196(7):856863. JAMA 2017 Oct 3;318(13):1233-1240. Ther Clin Risk Manag.