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EM@3AM: Stercoral Colitis

EMDocs

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS 94
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Cuffed Endotracheal Tubes for Children: ReBaked Morsel

Pediatric EM Morsels

2018 Mar;28(3):210-217. 0.41), p < 0.001. Intubation practice and outcomes among pediatric emergency departments: A report from National Emergency Airway Registry for Children (NEAR4KIDS). Acad Emerg Med. 2022 Apr;29(4):406-414. doi: 10.1111/acem.14431. PMID: 8021785. de Wit M, Peelen LM, van Wolfswinkel L, de Graaff JC. Paediatr Anaesth.

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Penetrating chest trauma

Don't Forget the Bubbles

Importantly, there were no differences between the groups regarding complications, including acute respiratory distress syndrome, multiple organ failure, venous thromboembolism, sepsis, and transfusion-related complications. These procedures require an experienced operator. These procedures require an experienced operator.

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Diagnostics: Inflammatory Markers

Taming the SRU

This finding was not significantly different among operators with different levels of experience, or between adults and children. A 2018 USA multi-center prospective RCT involving 1,656 adult patients published in NEJM used varying PCT cut-offs to guide antibiotic initiation in the emergency department. 2018 Aug 1;10(8):a028456.

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SAEM Clinical Images Series: An Unusual Foreign Body

ALiEM

Patients are at high risk of bacterial spread to the abdomen or retrograde spread up the ventriculoperitoneal shunt leading to peritonitis, peritoneal abscess, ventriculitis, meningitis, or sepsis. General surgery and neurosurgery should be consulted emergently for further operative interventions.

Sepsis 60
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

A search for Brazilian Butt Lift (BBL) on any social media platform will yield thousands of before-and-after images, faja sales, operating room videos, recovery tips, and patients praising their plastic surgeon. Or Helly Larson describing the first week after her Miami BBL as “absolute hell” to a Vox reporter.

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EtCO2 vs. Standard Triage Vitals in Predicting In-Hospital Mortality and ICU Admission

Taming the SRU

Utilized in the pre-hospital setting, ICU and the Operating Room, it is a non-invasive measurement that reflects a patient’s current state of metabolism, circulation and ventilation. Enrollment period was from February 2016 to August 2018. EtCO2 is a valuable tool in many medical specialties. Hunter CL, Silvestri S, Ralls G, et al.