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EM@3AM: Murine Typhus

EMDocs

The disease is generally mild, but in untreated cases, it can lead to more severe outcomes, especially in patients with underlying conditions such as glucose-6-phosphate dehydrogenase deficiency. Even though the disease often resolves spontaneously, prompt antibiotic therapy is essential for optimal outcomes. pregnant patients).

EMS 105
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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. National EMS scope of practice model 2019: Including change notices 1.0 DOT HS 813 151).

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Acute Esophageal Variceal Bleeding in Children

Pediatric EM Morsels

Prepare airway management tools (hoping to avoid needing them). Specific Therapies for Variceal Hemorrhage : [ Luoto, 2020 ; Castillo, 2019; Garcia-Tsao, 2007 ] Antibiotic prophylaxis (usually for 7 days) Ceftriaxone is reasonable 1st choice. 2019 Jul;98(29):e16505. Keep patient comfortable. Obtain large-bore access.

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SGEM#281: EM Docs Got an AmbuBag – The PreVent Trial

The Skeptics' Guide to EM

NEJM February 2019 Guest Skeptic: Andrew Merelman is a critical care paramedic and second year medical student at Rocky Vista University in Colorado. His primary interests are resuscitation, critical care, airway management, and point-of-care ultrasound. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults.

EMS 40
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Intubation

PHEM Cast

Positioning From: [link] Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B, Hodge K. Click here to hear what our friends over at the Resus Room think about Airways 2 References (kindly shared by Rich) Davis DP et al. Tracheal intubation. 20(12);681-686.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

However, that practice is long-outdated and patients managed on lower tidal volumes (6 ml/kg) were found to have decreased mortality. Ventilator-associated lung injury and inflammation can occur even during short-term mismanagement can worsen patient outcomes. Paper: Owyang CG, et al. J Crit Care.

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Glasgow Coma Scale in Children

Pediatric EM Morsels

Motor Fingernail bed pressure with a pencil first If flexion outcome, then apply painful stimulus to neck or head (trapezius or supraorbital notch) to look for localization Spinal reflex can result in a falsely elevated score if lower extremity pain induced Verbal Orientated- Able to answer all questions. Fun fact for animal lovers!-