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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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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.

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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

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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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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?

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Sickle Cell Disease and Stroke

Pediatric EM Morsels

Let’s take a minute to digest a morsel on another significant complication – Sickle Cell Disease and Stroke in Children : Sickle Cell Disease and Stroke: Basics Pathophysiology (Menaa, 2013, Webb, 2013) SCD causes sickling shape of red blood cells Vaso-occlusive Cascade: Sickling → vascular endothelium destruction → cytokine/ immune cell (..)

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2013 in review

My Paramedic Blog

I have been relatively inactive in the last year (2013) as life has gotten quite busy, and I find it a struggle to write amongst my busy schedule and shift work patterns. Below is the summary of 2013: The WordPress.com stats helper monkeys prepared a 2013 annual report for this blog. Once again, thank you for your support!

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