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EM@3AM: Pediatric Osteomyelitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Which of the following, if present, would put this patient at a higher risk of osteomyelitis? Infectious disease expertise is useful as the optimum duration of treatment is not well established. Pediatr Emerg Care. Ther Clin Risk Manag. doi:10.1097/PEC.0000000000002217

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These Patients and Drugs are Commonly Involved in Drug Interactions

ACEP Now

Many common presentations to the emergency department (ED) are related to drug interactions that are commonly missed and largely preventable. 8 It is just only older patients who are at risk for drug interactions. Acad Emerg Med. Ann Emerg Med. Reducing the risk of adverse drug events in older adults.

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How EM Physicians Should Manage Their Legal and Medical Duties

ACEP Now

A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at a party at her friend’s house. She is asking for an exam, as well as medications to avoid pregnancy and diseases. She denies any complaints or injuries. She refuses to allow her parents or the police to be notified.

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Advocating for Patients

ACEP Now

Imagine a 9-week pregnant patient who comes to the emergency department with vaginal bleeding and abdominal cramping. As physicians, even as resident physicians in training, our white coats and degrees hold weight, and our responsibility should not be limited to the walls of an emergency department.

OB/GYN 105
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IV fluids in the ED: When do we really need them?

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. 6-8 In patients who are on long-term hemodialysis, typical non-invasive signs of volume assessment seem to be unreliable as well.