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Episode 20 - Emergency Department Management of North American Snake Envenomations

EB Medicine

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. She arrives in the emergency department agitated and unable to answer questions appropriately. The patient is agitated on a backboard with C-collar in place.

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Grand Rounds Recap 4.19.23

Taming the SRU

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).

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Grand Rounds Recap 8.16.23

Taming the SRU

for detecting major injuries Abnormal CXR Rapid deceleration mechanism Presence of a distracting injury Chest wall tenderness Sternal/thoracic spine/scapular tenderness There are limited decision-making rules for thoracic spine imaging Yet a study (Inaba et al., 2015) reported a sensitivity of 98.9%

Sepsis 94
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Approach to Shock

Pediatric Emergency Playbook

Conversely, is the heart rate too slow – even if the stroke volume is sufficient, if there is severe bradycardia, then cardiac output -- which is in liters/min – is decreased. If so, treat the cause – perhaps this is a distributive problem due to anaphylaxis. Pulmonary embolism in the pediatric emergency department.

Shock 40
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Diagnostics: GI Bleeding

Taming the SRU

The specific etiologies of GI bleeds are numerous and will not be covered individually in this article, as often the exact origin is unknown at the time of Emergency Department evaluation. Instead, we will focus on areas of interest that may guide or change your management of these patients in the Emergency Department.