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SGEM#452: I’m Still Standing – After the Allergy Challenge

The Skeptics' Guide to EM

These “allergies” are often poorly documented and could potentially be more accurately described as intolerance [1]. The result was an increase in cephalosporin use but no significant differences in anaphylaxis, new allergies, treatment failures or all-cause mortality.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1]

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Coding for Mucositis. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Antimicrob Agents Chemother. 2014 Jul; 58(7): 3799–3803. doi: 10.1128/AAC.02561-1 02561-1 Stiff, PJ. From presentation at ICD-9-CM Coordination and Maintenance Committee Meeting. September 30, 2005.

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Grand Rounds Recap 8.16.23

Taming the SRU

Shewakramani Sepsis is associated with 20-40% mortality Screening tools for detecting patient at risk for sepsis in the ED SIRS Criteria (more sensitive tool) Temp <36C (96.8F) or >38C (100.4F) HR >90 RR >20 WBC <4k or >12k (or >10% bands) qSOFA Score GCS <15 RR >22 SBP <100mmHg Overall, SIRS Criteria remains (..)

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