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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. A 36-year-old male presents to the emergency department after being found down at home by his spouse. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

Seizures 104
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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 139
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CritCases 10 Hyponatremia Associated Seizures

Emergency Medicine Cases

In this EM Cases CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, a middle aged woman presents to a rural ED with headache and vomiting, normal vital signs with subsequent status epilepticus and serum sodium of 110 mmol/L.

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emDOCs Revamp: Esophageal Perforation

EMDocs

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 90.0 – Methemoglobinemia appeared first on REBEL EM - Emergency Medicine Blog. MetHb < 25% with symptoms Abnormal vital signs Metabolic acidosis End organ dysfunction (i.e. Goldfrank’s Toxicologic Emergencies, 9e New York, NY: McGraw-Hill; 2011.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Contraindicated seizures or porphyria. It is particularly useful in cases of physically difficult airway management, such as in patients with obesity, limited neck mobility, or cervical spine immobilization. Incidence and factors associated with cardiac arrest complicating emergency airway management.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Airway management should not be delayed. 7 Airway management: consider early airway management. Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.