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SAEM Clinical Images Series: There’s a Stone Under My Tongue

ALiEM

Case Discussion Take-Home Points Dehydration, trauma, anticholinergics, and diuretics predispose to the formation of sialoliths, with 80-90% arising from the submandibular glands. The emergency physician made a single 1 cm incision over the calculus and a 0.5 cm sialolith was removed with minimal bleeding. Etiologic factors in sialolithiasis.

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SGEM#228: Winds of Change – High Flow Nasal Oxygen for Acute Bronchiolitis?

The Skeptics' Guide to EM

She is not clinically dehydrated and has a temp of 38.2C The bottom line was that there seemed to be a knowledge gap when it comes to managing bronchiolitis in the community setting (previous evidence as suggested a knowledge gap also exists in the academic pediatric hospitals).

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

RebelEM

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). PMID: 36115743 Clinical Question: What is the effectiveness of IV amiodarone vs IV digoxin used as second line therapy in critically ill emergency department patients with atrial fibrillation/flutter where first-line BB use has failed?

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Grand Rounds Recap 3.15.23

Taming the SRU

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. At 6 to 8 mL/kg.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Academic Emergency Medicine.,

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Febrile Seizures

Don't Forget the Bubbles

Explain that prophylactic antipyretics/antibiotics/anti-epileptics medications are not recommended and do not prevent recurrence Advice for completion of all childhood vaccinations The prognosis after a simple febrile seizure is excellent – there are no known effects on IQ, academic performance or behavioural abnormalities.