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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. This may include specific clinical findings such as evidence of diarrhoea or vomiting, dehydration , meningitic signs, a history of significant head trauma immediately preceding the seizure, or failure to return to baseline.

Seizures 131
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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

RebelEM

Background Information: Atrial fibrillation with rapid ventricular rate (RVR) is one of the many tachydysrhythmias we encounter in the Emergency Department (ED). Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department. Am J Emerg Med. Am J Emerg Med. 2022 Sep 7.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. What can you do from the Emergency Department if suspected?

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SGEM#254: Probiotics for Pediatric Gastroenteritis – I Can’t Go For that…No Can Do

The Skeptics' Guide to EM

Date: April 16th, 2019 Reference: Schnadower et al. Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. Date: April 16th, 2019 Reference: Schnadower et al. NEJM 2018 Guest Skeptic: Dr. Anthony G.

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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Goldfrank’s Toxicologic Emergencies, 11e. McGraw Hill; 2019. A partner at bedside reports recent depressed mood, abdominal pain, and vomiting yesterday. Typically presents in the first few hours following ingestion.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.

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Bubble Wrap PLUS – July ’23

Don't Forget the Bubbles

2023 Jun 1;76(6):731-736 The Association Between Media-Based Exposure to Nonsuicidal Self-Injury and Emergency Department Visits for Self-Harm. coli urine tract infections in children treated in primary care and emergency department. Baaleman DF, et al. J Pediatr Gastroenterol Nutr. Lee T, et al. 2023 Jun;62(6):656-664.