Sat.Jun 01, 2024

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PulmCrit: MidaKet for procedural sedation in critical illness

EMCrit

intro: the challenge of procedural sedation in critical illness Procedural sedation for critically ill patients is a minefield for several reasons: Patients are already physiologically unstable. Procedures are emergent (a factor widely associated with greater complications). Time constraints often prevent a complete pre-anesthetic evaluation (e.g., medical history and laboratory studies may be unknown).

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JC: Is nebulised ketamine an option in the ED?

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed Journal club review of an RCT on the use of nebulised ketamine use in the emergency department. Yet another route for ketamine? Or maybe not?? #FOAMed @stemlyns The post JC: Is nebulised ketamine an option in the ED? appeared first on St.Emlyn's.

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SGEM#441: Searching Searching for the best Clinical Decision Rule to Detect Pediatric C-Spine Injury

The Skeptics' Guide to EM

Reference: Tavender E, et al. Triage tools for detecting cervical spine injury in paediatric trauma patients. Cochrane Database Syst Rev. 2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC.

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Journal Feed Weekly Wrap-Up

EMDocs

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: What’s the Best Target in the Neck for US Guided Central Access Spoon Feed This was a network meta-analysis of 13 randomized controlled trials comparing 5 different central venous catheterization (CVC) approaches.

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CT Case 061

Life in the Fast Lane

Jennifer Davidson, Parvathy Suresh Kochath, Georgina Beech and Leon Lam CT Case 061 A 36-year-old female presents with sudden onset right sided facial drop, right hemiparesis and dysarthria.

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Fixed-Dose Ketamine | AST/ALT Cutoffs in Abuse

JournalFeed

The JournalFeed podcast for the week of May 27-31, 2024. These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member. Monday Spoon Feed : A retrospective study of 60 patients who received a fixed-dose ketamine of 250 mg by EMS observed that 6 were intubated in the ED.

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Thomas sign

Life in the Fast Lane

Gary Zhang and Mike Cadogan Thomas sign Thomas's sign: Silver, aluminium or metallic coloured stools. Caused by the combination of cholestatic (acholic) pale stools secondary to CBD obstruction and the black-tar colour malaena.

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From the Ashes of SIRS: The Phoenix Sepsis Score

Pediatric Emergency Playbook

pemplaybook.

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