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Podcast 186.0: Hypocalcemia

Core EM

J Intensive Care Med 2013; 28:166. Diagnostic approach to hypocalcemia. UpToDate; Jul 17, 2020. Accessed April 29, 2022. link] Kelly A, Levine MA. Hypocalcemia in the critically ill patient.

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Post-Intubation Sedation and Analgesia

Core EM

Light Sedation vs Deep Sedation Various studies have shown detrimental effects of prolonged deep sedation including longer mechanical ventilation times, 6 month mortality and increased incidence of delirium ( Shehabi 2013 ). mg/kg over several minutes 0.02 – 0.1 mg/kg 0.01 – 0.1 hr No bolus 0.2 – 0.7 (up up to 1.5) mg/kg 0.01 – 0.1

ICU 246
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Summer Penile Syndrome

Pediatric EM Morsels

Epub 2013 Nov 5. Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

EMS 275
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ACMT Toxicology Visual Pearl: The Bark with Some Bite

ALiEM

2013 May;5(5):330. Phytotherapy Research. 2015;29(8):1112-1116. PMID: 25997859. Srivali N, Cheungpasitporn W, Chongnarungsin D, Edmonds LC. White willow bark induced acute respiratory distress syndrome. N Am J Med Sci. PMID: 23814765. Kuzak N, Brubacher JR, Kennedy JR. Reversal of salicylate-induced euglycemic delirium with dextrose.

OR 286
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SGEM#422: And It was all Yellow-Nasal Discharge and Antibiotics in Pediatric Sinusitis

The Skeptics' Guide to EM

The latest clinical practice guidelines from the American Academy of Pediatrics (AAP) on the diagnosis and management of acute bacterial sinusitis in children was published in 2013 [1].

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

2013 Dec;15(4):90-2. Epub 2013 Nov 7. Sivalingam SK, Gadiraju VT, Hariharan MV, Atreya AR, Flack JE, Aziz H. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Acute Card Care. doi: 10.3109/17482941.2013.841949. PMID: 24200150. Bruccoleri RE, Burns MM. J Med Toxicol.

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SGEM#415: Buckle Down for some Ultrasound to Diagnosis Distal Forearm Fractures

The Skeptics' Guide to EM

This includes SGEM#19 way back in 2013 reporting a bandage wrap is a safe alternative to traditional casting for children with greenstick fractures. So, the question is: should we call in our x-ray tech in and disrupt her party fun or just use the ultrasound machine to diagnose this possible fracture?