Remove Operations Remove Psychiatric Remove Shock
article thumbnail

EM@3AM: Stercoral Colitis

EMDocs

2, 8-10, 14 The clinical symptoms range from vague abdominal pain to florid septic shock and peritonitis secondary to bowel perforation. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management.

EMS 98
article thumbnail

Imported Malaria

Pediatric EM Morsels

Both have a range of detection limits, which can be greatly dependent on operator. You should consider ordering this in all febrile children with fever <30 days from travel to a malaria-endemic country (Forgie 2022) Thick smears are 10 x more sensitive for malaria then thin smears, but thin smears are used to identify species.

Seizures 281
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

We did not use clonidine, despite its known alpha agonist utility in opioid withdrawal, due to the undifferentiated nature of our patients receiving the pathways, not wanting to give an antihypertensive agent to patients who sometimes are experiencing shock and other critical illness. J Am Psychiatr Nurses Assoc. 2023;29(6):470-476.

article thumbnail

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.

article thumbnail

MI in Children

Pediatric Emergency Playbook

The infant in shock after a ‘cold’: myocarditis Beware of the poor feeding, tachycardic, ill appearing infant who “has a cold” because everyone else around him has a ‘cold’. Repeated use causes multiple psychiatric, personality, and neurologic changes. Fontan Operation and the Single Ventricle. Congenit Heart Dis. 2007; 2:2-11.

article thumbnail

Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use. million, and cocaine at 1.9