ALiEM
DECEMBER 9, 2024
link] www.cdc.gov/lyme/ Steere AC. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts. She also denied any occupational exposures or recent travel, although did endorse some recent hiking in the area. Platelets : 223 Sodium : 139 Creatinine : 0.8 Clin Infect Dis. 2010 Feb 15;50(4):512-20.
REBEL EM
NOVEMBER 6, 2024
Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)
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ALiEM
OCTOBER 30, 2024
The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Along the same time, a veterinary sedative, xylazine , became popular in Puerto Rico in individuals who used injection drugs [3]. We treat with wound care and reserve surgical management only for limbs that are no longer viable.
Dr. Smith's ECG Blog
DECEMBER 3, 2024
This dynamic change is diagnostic of ACS. Cardiology was consulted and agreed that his history was high risk for ACS and a next-day angiogram was merited. This was also non-diagnostic for OMI, although the dynamic changes are diagnostic of ACS. Another EKG was also obtained. ECG at time 82 minutes: What do you think?
Dr. Smith's ECG Blog
MAY 20, 2025
ACS is dynamic. interesting spontaneous reperfusion case 1413140 prehospital STEMI first ED ECG is here, with 3/10 pain: But this is the same patient just 10 minutes before, with 7/10 pain Isn't it ridiculous to say that the patient has both a STEMI and an NSTEMI? It can't be given one static name. Now the patient has one disease: OMI.
Don't Forget the Bubbles
MAY 19, 2025
But they didnt stop therethey also investigated whether low calcium levels influenced the need for critical interventions like vasoactive medications, blood transfusions , interventional radiology, or surgery. The findings suggested that children with iHypoCa were nearly three times more likely to present with hypotension. But did it help?
ACEP Now
JULY 3, 2025
The dose is 25 mg- 100 mg for adults and 0.5 mg/kg-1 mg/kg with maximum dose of 50 mg in children. 1 Whole-bowel irrigation can be considered; however, it is not recommended in unstable patients or those at risk for aspiration. Fluid resuscitation is the initial management of hypotension.
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