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SGEM#469: You Take My Breath Away – D-dimer for Ruling out PE in High-Risk Patients

The Skeptics' Guide to EM

She is the cofounder of FOAMcast and a pulmonary embolism and implementation science researcher. Dr. Westafer serves as the Social Media Editor and a research methodology editor for Annals of Emergency Medicine. Excluded: Patients with missing D-dimer values, missing data elements for the RGS or Wells score, inconclusive CTPA.

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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. BioMed Research International, 2020, 1-10. 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. 10^9/L) Moderate (0.50.9 Medications: 25.6%

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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. Diphenhydramine versus nonsedating antihistamines for acute allergic reactions: a literature review. Resources: Banerji A, Long AA, Camargo CA Jr. Allergy Asthma Proc. 2, 2001, pp.

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

EMDocs

1,2 More research is needed to determine whether a difference truly exists in efficacy of these antivenoms against local tissue effects which predominate after Agkistrodon envenomation. On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort.

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Subcutaneous Rehydration

Pediatric Emergency Playbook

Well, it turns out, what is old is new again. The idea is not to tape on the growing mound itself, because the mound may pull at the anchored skin and set a nuclear chain reaction of annoyance and restlessness – and potentially a failed procedure. A 25-gauge butterfly or 24-gauge angiocatheter works well from an infant to an elder.