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Glasgow Coma Scale in Children

Pediatric EM Morsels

Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Now used for critically ill trauma and medical patients in >75 countries. Jain 2022] Glasgow Coma Scale in Children – How do you perform it correctly?

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Balanced solutions: better than saline, but which balanced solution?

PulmCCM

Does the choice of balanced solution make a difference in patient outcomes from critical illness? Based on their similarities, you might expect no differences in outcomes between patients resuscitated with LR or Normosol-R. There were no significant differences in any outcome: Bicarbonate levels: (-1.2 Epub 2022 Jan 18.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). A baby formula milk shortage for adults.” 11 Table 1.

Radiology 101
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Long-Term Outcomes in Patients Using Protocol-Directed Active Surveillance for Prostate Cancer

Sensible Medicine

In this context, the Canary Prostate Active Surveillance Study ( PASS ) sought to understand the long-term outcomes of active surveillance. Question What are the long-term outcomes for patients with favorable risk prostate cancer managed with protocol-directed active surveillance? The cohort enrolled patients from 2008 to 2022.

Outcomes 102
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Elbow Dislocations

RebelEM

2022 Aug 2. Acute elbow dislocation: evaluation and management. J Am Acad Orthop Surg. 1998 Jan-Feb;6(1):15-23. doi: 10.5435/00124635-199801000-00002. PMID: 9692937 Decker N, Norse A. Anterior Elbow Dislocation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Simple elbow dislocation. Shoulder Elbow.

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Anti-NMDA Receptor Encephalitis in Children and Adolescents

Pediatric EM Morsels

Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Younger Age at Onset Is Associated With Worse Long-term Behavioral Outcomes in Anti-NMDA Receptor Encephalitis. 2022 Jul 6;9(5):e200013. It is best to assume the worst and cover for this possibility.

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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. January 2022.

EMS 105