REBEL EM

MAY 25, 2023

mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. mental status, urine output, capillary refill) is more important than an actual goal PERMISSIVE HYPOTENSTION IN PTS WITH TBI Brotfain E et al. Richards JE et al.

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E-9-1-1 Plasma ALS OR 145

EMDocs

DECEMBER 18, 2023

This was based on studies that demonstrated qSOFA was more specific but less sensitive than its counterparts (Table 1). 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

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E-9-1-1 ALS Emergency Department Plasma 88

EMDocs

MARCH 4, 2024

A wide variety of conditions can result in either type of cholestasis (Figure 1). 1 Extrahepatic obstruction is due to mechanical obstruction occurring downstream of the hepatic ducts such as pancreatic disease, gallstone obstruction of the common bile duct, and cancer. 9 How are cholestatic labs defined?

Emergency Department 100

Emergency Department E-9-1-1 ALS ED 100

Don't Forget the Bubbles

JUNE 30, 2023

He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. Actively oozing.

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E-9-1-1 FFP Plasma Emergency Department 140

EMDocs

SEPTEMBER 7, 2023

1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity? DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. Metabolism of DEG adapted from Bessenhofer, et al. What is the management of suspected or confirmed DEG toxicity?

E-9-1-1 88

E-9-1-1 ALS Plasma Emergency Department 88

AAEM RSA

APRIL 1, 2021

1 The American College of Surgeons’ (ACS) Trauma Quality Improvement Program (TQIP) Massive Transfusion in Trauma Guidelines leave a good amount of flexibility for hospitals regarding transfusion protocols, focusing more on systems-level aspects of designing and implementing MTPs.2,3 Holcomb JB, Tilley BC, Baraniuk S, et al.

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E-9-1-1 Plasma ALS ACS 52

EMDocs

JUNE 14, 2023

Patellar reflexes are 1+. 1, 2, 4, 9 Organophosphates are one of many types of insecticide and are used worldwide to manage crops. 1, 2 Symmetric sensorimotor axonopathy: leg cramping to extremity weakness and paralysis. 1, 2 Sensory > Motor neurons with predilection for long axons. Muscle tone is normal.

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E-9-1-1 Plasma Emergency Department ED 93

EMDocs

JUNE 7, 2023

1-5 Farmers also treat sheep for parasites using OPs and may become symptomatic after exposure, an illness called Dipper’s Flu. 8 Intermediate syndrome Occurs 1 to 5 days after acute exposure in up to 40% on individuals. 7, 9 Often have absence of excessive cholinergic stimulation. 7 May lead to respiratory failure.

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E-9-1-1 ICU ED Plasma 98

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Investigations : Bloods show Hb of 8 g/L, White cell count 13x 10 9 /L, Platelets 570 x10 9 /L, CRP 35mg/L. Blood culture is pending.

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E-9-1-1 ACS OR ICU 125

EMDocs

FEBRUARY 3, 2025

Although these autoantibodies may be present in a variety of individuals, the development of clinical disease is thought to require exposure to an environmental risk factor such as certain viruses, cigarette smoke or other environmental toxins (1). million have been diagnosed with lupus, with 90% of cases occurring in females (1).

ED 67

ED E-9-1-1 ALS OR 67

Don't Forget the Bubbles

MARCH 24, 2025

While no paediatric studies have confirmed this, the DICE trial ( D exmedetomidine in I nfants undergoing C ooling for Neonatal E ncephalopathy) is underway. Later phase : As plasma levels fall, vasoconstriction decreases. References Baserga M, DuPont TL, Ostrander B, et al. 2021.770511 Bayram A, Ulgey A, Baykan A, et al.

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E-9-1-1 Emergency Department ALS ICU 57

EMDocs

JANUARY 22, 2025

1 Most heroin in the United States actually contains fentanyl and fentanyl analogs. Naloxone reverses the analgesic, respiratory, sedative , and miotic e ffects of opioids. 6 Image 1: Structure of naloxone. DOI: [link] O’Donnell J, Tanz LJ, Miller KD, et al. Published 2023 Sep 1. 2016 Mar;12(1):107-10.

Naloxone 94

Naloxone E-9-1-1 Overdose ALS 94

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Introduction Airway management is a critical ED skill to master. Figure 7: (modified from Tanoubi 2009).

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E-9-1-1 EMS ALS OR 130

EMDocs

NOVEMBER 2, 2024

Answer : Neurosyphilis Introduction Neurosyphilis is a clinical manifestation of syphilis, a rapidly disseminating sexually transmitted infection caused by the spirochete Treponema pallidum, and humans are the only known host [1] Neuroinvasion by the treponeme may occur in the days following primary infection and is often asymptomatic.

EMS 104

EMS E-9-1-1 Plasma ALS 104