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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e. Most common causes of leukopenia Infections: 36.4% Medications: 25.6%

EMS 95
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STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

RebelEM

STREAM-2: Half-Dose Tenecteplase or Primary Percutaneous Coronary Intervention in Older Patients With ST-Segment-Elevation Myocardial Infarction: A Randomized, Open-Label Trial. Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% Primary PCI: 78.4%

EKG/ECG 138
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Rash Week! An atypical antibiotic reaction

PEMBlog

The child has fever and swollen feet as well. It’s Serum Sickness Like Reaction! This is a delayed allergic reaction to an antibiotic. Updated 2023 Aug 28]. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. References Rixe N, Tavarez MM.

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ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. Accessed August 17, 2023. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms. 9 This effect may be especially prominent in the setting of rattlesnake envenomation, where coagulopathic effects are more prominent.

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Multiple well-designed, multicenter, multinational studies suggest GLP-1 agonists are associated with improved glucose control in diabetes type 2 and approximately a 15% reduction in weight over 1-2 years (around 2/3s of patients regain weight if treatment is stopped). 2023 Oct 5:e2319574. Accessed October 4, 2023.

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EM@3AM: Traumatic Iritis

EMDocs

Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. 2023, www.uptodate.com/contents/overview-of-eye-injuries-in-the-emergency-department?search=traumatic+iritis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2.

EMS 98
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What the Emergency Clinician Must Know about Remote Monitors in Heart Failure

EMDocs

10 This procedure has well-described rare complications including infection, blood loss, allergic reaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. Accessed June 23, 2023 from [link]. 2023 Jun 24;401(10394):2112].