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EM@3AM: Murine Typhus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 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. pregnant patients). Clin Infect Dis. 2008 Mar 15;46(6):913-918. doi: 10.1086/527443.

EMS 105
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Br J Addict. 1989; 84(11): 1353-1357.

Seizures 105
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EM@3AM: Bacterial Tracheitis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. 2][3][9] Glucocorticoid were not shown to alter clinical course or patient outcomes. [2][3] Definitive airway management should be pursued early. Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections.

EMS 110
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Current Extraglottic Airway Devices and Prehospital Practices

ACEP Now

Airway management remains a fundamental skill for all emergency physicians. Extraglottic airway devices (EGAs) have become a widely accepted means of airway management along with rescue airway devices. References National Association of State EMS Officials, National Highway Traffic Safety Administration.

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The NICO Trial: NIV in Comatose Patients with Acute Poisoning

RebelEM

These patients can be at risk of vomiting and aspiration and often prompts clinicians to pursue definitive airway management to avoid pneumonia and other complications. There has been no high level evidence to help guide practice until now…the Non-Invasive Airway Management of Comatose Poisoned Emergency Patients (NICO) trial.

Poisoning 141
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Glasgow Coma Scale in Children

Pediatric EM Morsels

We had just received a young child from EMS who was post-ictal with decreased mentation. Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients.

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The Ducanto Catheter—It Sucks!

RebelEM

James DuCanto, developed the DuCanto catheter to enhance airway management in these high-stakes situations. The commonly used 14 Fr Yankauer catheter, with its smaller bore, may struggle to clear heavily contaminated airways effectively. appeared first on REBEL EM - Emergency Medicine Blog. J Emerg Med.