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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. If sepsis or septic shock is present, aggressive fluid resuscitation and empiric antibiotics covering intra-abdominal flora should be administered. Abdominal pain may be absent in up to 60%.

EMS 98
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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. 1,2,6 Neurologic effects: Sedation is a primary concern with overdose. Hum Exp Toxicol.

Poisoning 111
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Imported Malaria

Pediatric EM Morsels

This is otherwise known as Blackwater fever (Forgie 2022) Severe Malaria laboratory findings include acute kidney injury , hyperbilirubinemia , hemoglobinuria , severe anemia, hypoglycemia, lactic acidosis , and hyperparasitemia (Forgie 2022) Severe Malaria is almost entirely attributed to infection with P.

Seizures 281
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Grand Rounds Recap 1.10.24

Taming the SRU

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting (..)

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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Majority of DKA patients are in a fluid deficit and present acutely with shock. Signs of shock to be mindful for are tachycardia, hypotension, prolonged CRT, pallor, and a weak thready pulse. Fluid boluses are given according to local guidelines, but generally shocked patients should receive a 10ml/kg 0.9%

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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. Cureus 16(9): e69274.

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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!