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Post-Intubation Sedation and Analgesia

Core EM

The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients. It was found that patients exposed to deep sedation in the ED had an independent higher incidence of continued deep sedation on ICU day one ( Fuller, 2019 ).

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

A 36-year-old male presents to the emergency department after being found down at home by his spouse. 2013; 88(9): 589-595. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

Disposition is often admission to an intensive care unit (ICU) setting. Further management and resuscitation were required, and she had a lengthy ICU stay of 21 days until she was extubated. Parenteral organophosphorus poisoning in a rural emergency department: a case report. 2013; 6:524. Published 2013 Dec 9.

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REBEL Cast Ep115 – Phenobarbital vs Lorazepam in Alcohol Withdrawal

REBEL EM

The 30-day emergency department readmission rate and all-cause 30-day readmission were significantly lower only when adjusted for propensity scores. Although CIWA has subjective components, when a patient has a CIWA in the 20s ICU transfer should be considered.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

Critical Care Medicine 41(12):p A191, December 2013. 2013 Jan-Mar;16(1):91-5. Epub 2013 Aug 7. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. 2020 Feb 12;10(1):2470.

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The Current Status of Continuous-Seizure Management

ACEP Now

1 History and physical examination have been the cornerstone of seizure diagnosis in the emergency department (ED). 2 A study of routine EEG in the ED in 2013 found that five percent of ED patients with altered mental status had nonconvulsive seizures (of whom 75 percent were in nonconvulsive status epilepticus). Ann Emerg Med.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). 2013 Jan 24;368(4):394]. Ann Emerg Med. N Engl J Med.