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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management.

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The Evolution Of Penetrating Neck Trauma Management – Part 2: Initial Steps

The Trauma Pro

Courtesy Core EM Airway control should ideally occur in the operating room. If gauze packing is not practical because of this need for additional pressure, a urinary catheter can be inserted into the wound and inflated until the bleeding stops.

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Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

Secondary hemorrhage occurs between days five and 14 post-operatively, peaking around days five to seven. The literature suggests that approximately 85 percent of these cases require procedural source control in the operating room, highlighting the importance of expediting transport arrangements. CREDIT: Dr. P.

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EM@3AM: Sialadenitis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education. She is breathing comfortably but seems to experience significant pain at the associated site of swelling. Neuroradiol J. 2017;30(3):205-215. The Journal of emergency medicine.

EMS 96
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EM@3AM: Pneumocephalus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea. article in Spanish)  Neurocirugía. 

EMS 119
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How Long Should EM Residency Be? New Studies Shed Light

ACEP Now

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114
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EM@3AM: Retroperitoneal Hematoma

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 25-year-old man presents to the ED via EMS after he sustained a gunshot wound to the left flank. Available from: [link] Guldner GT, Smith T, Magee EM. Vital signs include BP 90/48, HR 122, T 98.3 F, RR 16, SpO2 97% on room air. J Emerg Med. 2012 Aug;43(2):e157-61.

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