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EM@3AM: Sialadenitis

EMDocs

Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g., Pseudomonas aeruginosa , Escherichia coli ).

EMS 96
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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. 5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Typically presents in the first few hours following ingestion. 2 L/hr in adults.

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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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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. They passed away a few days after a second operation. Zamora et al., Persistent vomiting affected all 43 cases. Imaging Diagnostic imaging presented its own set of challenges. Unfortunately, the anastomosis broke down. It’s beads, too!

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A Sage Moment

Dr. No

If the modellers — at the request of the decision makers — produce only a doom laden dossier of diarrhoea, dehydration and death, then the decision makers are going to find it very difficult — because this is how the human mind works — not to read the dossier as a dossier of predictions, and so act accordingly.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention. At 6 to 8 mL/kg.

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

How unstable is this patient? Do they need to be in the bay in front of your nursing station or in resus?