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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Management is directed based on underlying etiology, but consider fluid resuscitation, antipyretics, and antibiotics as indicated. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. 2nd edition.

EMS 88
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

The exact mechanism is not known… It was previously believed that it was due to rapid changes in serum osmolality during initial fluid resuscitation. 13406 The post Cerebral Edema and Diabetic Ketoacidosis: Rebaked appeared first on Pediatric EM Morsels. or serum bicarbonate between 11-17 mmol/L Moderate : venous pH < 7.2

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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Aggressive fluid resuscitation as patients may be severely hypovolemic from GI symptoms. Case Follow-up: The patient received a fluid resuscitation with 20 mL/kg bolus of normal saline. Antiemetics as needed. 2 L/hr in adults.

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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

RebelEM

This could have biased the results in favor of amiodarone as we’ve covered this before on REBEL EM before The IV amiodarone group required less additional HR control agents to control increased heart rate. Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). PMID: 36115743 Panchal, Ashish R., Circulation , 5 Nov.

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Could you have prevented this young man's cardiac arrest?

Dr. Smith's ECG Blog

As stated above, resuscitation included epinephrine, calcium, and bicarb. His neurologic exam was excellent given reported 20-30 minutes of intra-arrest resuscitation. He had been given 3 grams Ca gluconate by EMS. This ECG is too bizarre to be anything other than end-stage hyperkalemia. After ROSC achieved: Sinus rhythm.

EKG/ECG 52
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Lab Case 23 – Interpretation

EMergucate

This is a 3 month old (weight 5kg) critically unwell child who requires resuscitation with concomitant assessment to determine the … Continue reading →

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension.

EKG/ECG 40