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But Can You Just PO?

Taming the SRU

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons including obesity, edema, IV drug use, surgical scars, dialysis, burns, and others (1,2). Emerg Med J. Ann Emerg Med. Intraosseous vascular access in adults using the EZ-IO in an emergency department.

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SAEM Clinical Images Series: Purple Finger

ALiEM

Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. Many report a burning sensation to the finger. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger. She denied pain in the hand and has had no problems moving the finger.

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PEMPix 2023 Online Case 2: Walk Softly

PEMBlog

This case was submitted by… A 6-year-old previously healthy female was brought to your emergency department with extremity pain. Patients often describe a sensation of burning or stinging pain rather than itching. This is the second of the four cases. 4 days earlier, she developed rhinorrhea, cough, and fever to Tmax 101F.

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September 2023 News from the College

ACEP Now

Burns, professor of management at the Wharton School, University of Pennsylvania, will pull back the curtain on the evolving world of private equity in health care and how it is trending. The post September 2023 News from the College appeared first on ACEP Now. 9—Kickoff Party with a speakeasy theme at the Old Reading Terminal Oct.

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PECARN STELAR Podcast – Episode 2: Food Insecurity

EMDocs

The emergency department takes care of some of the highest risk patients with the worst access to health care and social services Over the past 20 years, many researchers have created and validated social needs screeners Some examples: iHELP, WE CARE, SEEK, USDA 2-item food insecurity questionnaire Does screening make a difference?

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Don’t Forget About the IO in the Critically Ill Patient

RebelEM

World J Emerg Surg 2023 PMID: 36918947 3. Intraosseous vascular access in adults using the EZ-IO in an emergency department. Int J Emerg Med 2009 PMID: 20157465 4. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. Ong MEH, Chan YH, Oh JJ, et al.