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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Well keep it short, while you keep that EM brain sharp. A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. Medications: 25.6%

EMS 95
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EM@3AM: Traumatic Iritis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. Orbital hemorrhage: preseptal is less dangerous and more obvious on exam.

EMS 98
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ToxCard: Crotalid Envenomation Part 2 – CroFab vs. AnaVip: What’s the Difference?

EMDocs

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. Table 1: Comparison of F(ab) and F(ab’) 2 antivenoms. 9 This effect may be especially prominent in the setting of rattlesnake envenomation, where coagulopathic effects are more prominent.

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STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

RebelEM

appeared first on REBEL EM - Emergency Medicine Blog. Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% to 1.0mm Median amount of ST deviations declined from 15.0 Primary PCI: 78.4% Primary PCI: 13.3% RR 0.96; 95% CI 0.62 Primary PCI: 8.9

EKG/ECG 138
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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

RebelEM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Allergy Asthma Proc. PMID: 17883909.

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What the Emergency Clinician Must Know about Remote Monitors in Heart Failure

EMDocs

10 This procedure has well-described rare complications including infection, blood loss, allergic reaction, arrhythmia, pneumothorax if approaching via the internal jugular vein, embolization of the device, and pulmonary artery perforation or dissection. 8 The device itself is 2 x 2.5

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The PALACE Trial: Direct Oral PCN Challenge in Patients with Low-Risk PCN Allergy?

RebelEM

appeared first on REBEL EM - Emergency Medicine Blog. randomization) as per protocol (i.e. eligibility to screened ratio) Feasibility of recruitment defined as proportion of patients consenting to participate in the study protocol from eligible patients (i.e.