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EM@3AM: CSF Leak

EMDocs

Although the concentration of chloride in the CSF is slightly higher than in plasma, measuring chloride (B) is not an accurate way to detect the presence of CSF. 2013 Mar;40(2):144-57. He has significant facial trauma, and blood and serous fluid are leaking out of his left ear. His left face and eye have severe contusions.

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Anti-NMDA Receptor Encephalitis in Children and Adolescents

Pediatric EM Morsels

It is commonly missed during the first few ED visits. First line therapies for anti-NMBDA receptor encephalitis consists of… High dose steroids , IVIG, and PLEX – Therapeutic plasma exchange Only 50% of patient’s respond, and will require second line therapies such as Rituximab. Epub 2013 Dec 18. Lancet Neurol.

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Transfusion Reactions

Core EM

In: Marx J, ed. In: Wolfson A, ed. 2013 Feb;160(4):434-44. mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1 Br J Haematol. 2009 Nov;147(4):431-43. link] Emery, M. Blood and blood components. Rosen’s emergency medicine. Philadelphia, PA: Elsevier; 2014:75-80. Transfusion Reactions and Complications. Hirayama F.

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REBEL Core Cast 108.0 – Angioedema

REBEL EM

Bradykinin Mediated Plasma globulins called kininogens release bradykinin and cause vascular permeability. Image: ( Morgan 2010 ) Features Absence of urticaria and pruritus Insidious onset (24-36 hours) ACE Inhibitors Inhibition of ACE hinders the degradation of bradykinin and can lead to idiosyncratic angioedema.

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ToxCard: Osmol Gap – Part 1

EMDocs

3 Measured in analytical testing : Laboratories measure plasma concentration using osmometers which measures values as a function of kilograms of solvent. Elsevier Mosby; 2013. Choice of the best equation for plasma osmolality calculation: Comparison of fourteen formulae. Osmolality and Osmolarity: Narrowing the Terminology Gap.

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Transfusion Reactions

Core EM

In: Marx J, ed. In: Wolfson A, ed. 2013 Feb;160(4):434-44. mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1 Br J Haematol. 2009 Nov;147(4):431-43. link] Emery, M. Blood and blood components. Rosen’s emergency medicine. Philadelphia, PA: Elsevier; 2014:75-80. Transfusion Reactions and Complications. Hirayama F.

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Congenital Syphilis

Pediatric EM Morsels

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. Congenital Syphilis may still occur in patients presenting to your ED! 2013 Aug;20(4):337-9. Epub 2013 Feb 27. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Rates of congenital syphilis are increasing.

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