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EM@3AM: Brainstem Strokes

EMDocs

Cavernous sinus syndrome (B) usually presents with cranial nerve deficits, diplopia, periorbital cellulitis, and facial swelling that may progress to meningitis or sepsis. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 2020 Feb;19(2):115-122. anatomic region). Brainstem stroke: anatomy, clinical and radiological findings.

Stroke 107
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Diagnostics: Inflammatory Markers

Taming the SRU

Pneumonia A 2020 meta-analysis of 8 studies including 2,215 adults with confirmed community acquired pneumonia in different settings found PCT with a cutoff of 0.5 Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. days (secondary endpoint) [51].

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EM@3AM: Suppurative Parotitis

EMDocs

Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. September 9, 2020. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Acute bacterial sialadenitis: a study of 29 cases and review.

EMS 90
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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The stay in the cardiac intensive care unit (CICU) was further complicated by sepsis, delirium, GI bleeding, and anuric renal failure with need for renal replacement therapy. Another approach is sympathetic chain (stellate ganglion) blockade if you have the skills to do it: it requires some expertise and ultrasound guidance.

EKG/ECG 132
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emDOCs Podcast: Episode 108 – Unexplained Sinus Tachycardia Mental Model

EMDocs

The full differential diagnosis of sinus tachycardia in isolation is extensive ranging from benign etiologies such as anxiety to severely life threatening etiologies such as sepsis. 2020 Nov 21;41(44):4258]. Discharging a patient with abnormal vital signs has been linked to unanticipated death (1-4). Do they have edema? Ann Emerg Med.

Shock 105
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The CLOVERS Trial

Taming the SRU

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. 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. N Engl J Med. 2023;388(6):499-510. 2019, Bauer, Gerlach et al.

Sepsis 52
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Brazilian Butt Lift Procedure Can Result in Emergency Department Visits

ACEP Now

6 The increasing mortality rate led to an additional emergency regulation in 2022 requiring the consenting physician to perform the critical steps of the case, limiting surgeons to three cases per day, and mandating continuous, recorded ultrasound guidance for gluteal AFT procedures. References Garcia SE. Butt Lifts Are Booming.