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Journal Feed Weekly Wrap-Up

EMDocs

2: Can We Predict Occult Scaphoid Fracture on Exam? Spoon Feed In a meta-analysis of 1,685 patients with suspected scaphoid fracture after negative plain radiographs, no clinical feature adequately rules out occult fracture. Source Which clinical features best predict occult scaphoid fractures? Ann Fam Med.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. The subcutaneous space is a vast region of potential space where things can collect.

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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. One commonly used example is tachycardia.

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Elective Placement With The Air Ambulance: Reflective Account and Top Tips

Mind The Bleep

Through this role, as an observer, I was able to experience various pre-hospital emergencies; the most common scenarios I attended were cardiac arrests, but I also attended trauma patients at the scene of road traffic accidents, fractures in a wilderness medicine setting, anaphylaxis, and many others.

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The Perception of Risk

Don't Forget the Bubbles

Alternatively, they may have fallen off the monkey bars, so we offer some painkillers, do an X-ray to confirm the fracture, and apply a cast. Let’s break it down: Less than 50% of normal fluid intake in a 24-hour period Children who are sick generally don’t eat or drink, so dehydration is a legitimate concern.

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? If this wandering patient was agitated or aggressive then this could justify a pharmacological agent owing to this risk or self or others. What can I use in an emergency?

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How to Diagnose Eating Disorders in the Emergency Department

ACEP Now

Musculoskeletal complications include osteopenia with increased risk for long bone fractures. It may be tempting to administer crystalloid boluses to patients with eating disorders who appear to be dehydrated in the ED; however, this should be avoided because a common cardiac complication is heart failure.