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#FOAMed Review 51st Edition

EM Curious

More FOAMed INFECTIOUS DISEASE SMORGASBORD CORE EM PODCAST EPISODE 3 [PODCAST]: Swami sits down to run over some high yield EM topics in the arena of infectious disease, from antibiotic choice in HCAP, to new paradigms in soft tissues infectious. With a bonus brief on disaster management.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

EKG shows atrial fibrillation with a rate of 169. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Takeaways : There are more questions than answers in this case, but: This is a common outcome. No case was filed.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. Centers managing patients after CA should collect data and evaluate outcomes of care (95.7%, 22/23). Pulmonary Management Takeaway: Use lung-protective ventilation.

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EM@3AM: Cardiac Transplant Complications

EMDocs

His electrocardiogram (ECG) is shown below: His chest x-ray is shown below: The patient’s high sensitivity troponin I is elevated to 3,000, and his Brain-Natriuretic Peptide (BNP) is elevated to 14,000 ng/L. 15 Consider ACS in the differential for transplant patients and have a low threshold for ordering screening ECG/troponin.

EMS 91