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EM@3AM: Stercoral Colitis

EMDocs

Clinical exam: 2, 3, 9 Abdominal distension and tenderness Nausea and vomiting Stool present in the rectal vault Peritonitis may be accompanied by hemodynamic instability in the case of sepsis. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS 98
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Managing the Patient with Alcohol Intoxication

RebelEM

It may be mistaken for acute intoxication, psychiatric illness, or other occult pathology. Consider a psychiatric consult (and labs needed for psychiatric admission) or check blood work if there is a concern for concomitant underlying medical pathology as a cause of hallucinations. Acta Psychiatr Scand. Alcohol Alcohol.

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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.

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Bubble Wrap PLUS – January 2024

Don't Forget the Bubbles

However, children who had an operation experienced improvements in behaviour, symptoms, and quality of life and had lower blood pressure. The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality.

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Weaning Sedation in Paediatric Intensive Care

Don't Forget the Bubbles

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). Examples of these are linked below: European Society of Paediatric and Neonatal Intensive Care ( ESPNIC ). Am J Respir Crit Care Med. 2023;207(1):17-28.