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Methanol poisoning

Don't Forget the Bubbles

It’s a busy day in the paediatric ED. The osmolar gap measures the difference between the measured plasma osmolality and the calculated plasma osmolality , providing an estimate of unmeasured solutes in the blood. Glucose] is the plasma glucose concentration (mg/dL). Back to our toddler in the ED.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Labs Laboratory workup in the ED is notable for a leukocytosis of 41,000/L, hemoglobin of 6.5 She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI.

ED
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Episode 211: Granulomatosis with Polyangiitis

Core EM

Granulomatosis with Polyangiitis (GPA) – Recognition and Management in the ED Hosts: Phoebe Draper, MD Brian Gilberti, MD [link] Download Leave a Comment Tags: Rheumatology Show Notes Background A vasculitis affecting small blood vessels causing inflammation and necrosis Affects upper respiratory tract (sinusitis, otitis media, saddle nose deformity), (..)

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ToxCard: Iron

EMDocs

On arrival to the ED the patient’s initial vital signs are temperature 38.5C, BP 102/48, HR 106, RR 20. Antidote : Deferoxamine is a chelating agent derived from Streptomyces pilosus ; binds free iron from plasma and iron inside of cells. Coagulopathy: Parenteral vitamin K and/or fresh frozen plasma (FFP) as clinically indicated.

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EM@3AM: Systematic Approach to Massive Hemorrhage and Nuances in Special Patient Populations

EMDocs

Case: A 32-year-old female presents to the ED with chief complaint of abdominal pain. Balanced transfusion of packed red blood cells (PRBCs), platelets and fresh frozen plasma (FFP) in a 1:1:1 ratio is the current best practice to avoid inducing coagulopathy by large volume blood product administration. C, and 20 respirations/min.

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Severe Malaria: ED Presentation, Evaluation, and Management

EMDocs

Initial diagnostic workup in the ED reveals WBC 4.5 11 Transfuse patients who are anemic or coagulopathic, ideally with fresh whole blood; if this is not available, use packed red blood cells (PRBCs) for anemia, and replete coagulopathy with platelets, fresh frozen plasma (FFP), or cryoprecipitate as indicated. mg/L, INR= 1.5,

ED
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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. 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.