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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. Therefore, administration of IV morphine (A) would not be recommended. Stercoral colitis in the emergency department: a review of the literature. In StatPearls.

EMS 94
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SGEM#460: Why Do I Feel Like, Somebody’s Watching Me – CHARTWatch to Predict Clinical Deterioration

The Skeptics' Guide to EM

Case: The Chief of Emergency Medicine (EM) at a large urban hospital recently approached the AI Committee at Unity Health, intrigued by the CMAJ article describing the apparent success of CHARTWatch in detecting early signs of patient deterioration. Reference: Verma et al.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

Second-generation antipsychotic medications: Pharmacology, administration, and side effects. Movement Disorder Emergencies. His roommate found an empty pill bottle on the floor next to him. The bottle contained 100 mg quetiapine tablets, and 50 tablets were unaccounted for. Innov Clin Neurosci. 2018;15(7-8):20-22. Published 2023.

Poisoning 108
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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

If bleeding, the only lab that is needed in the Emergency Department is a type and cross. Soak the gauze with epinephrine (1:10,000) or TXA (our THIRD route of administration) Apply pressure laterally to the tonsillar fossa with the gauze covered Magill forceps. CBC, coagulation panels, von Willebrand factor etc are less useful.

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Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

RebelEM

Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines. Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal.

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. Fibrinogen levels should also be obtained, where available, if severe hemorrhage suggests the potential need for administration of fibrinogen concentrate. and youre three hours from the nearest tertiary care center.

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EM@3AM: Testicular/Scrotal Abscesses

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A) Administration of a 30 mL/kg bolus of normal saline B) Admission for intravenous vancomycin C) CT scan of the pelvis D) Emergency surgical consultation and broad-spectrum antibiotics Answer: D Fournier gangrene is necrotizing fasciitis of the perineal, genital, or perianal anatomy.

EMS 87