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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

2013) Recurrent Spontaneous Globe Subluxation: A Case Report and Review of Manual Reduction Techniques. Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. References Kelly, E.W. and Fitch, M.T.

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ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

2013 ;2013:610648. The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. The lethal dose range reported for cyanide in humans is 0.56-1.5 Grinding or chewing the kernel increases toxicity [4]. Antidotal therapy includes hydroxocobalamin, sodium nitrite, and sodium thiosulfate. ISRN Toxicol.

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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. Reference: Snelling et al. Ultrasonography or radiography for suspected pediatric distal forearm fractures. He is also a fully-fledged ultrasonographer. Reference: Snelling et al.

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Podcast 186.0: Hypocalcemia

Core EM

J Intensive Care Med 2013; 28:166. Hosts: Joseph Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: calcium , Critical Care , Endocrine Show Notes Swami’s CoreEM Post Hypocalcemia Repletion: IV calcium supplementation with 100-300 mg Ca2+ raises serum Ca2+ by 0.5 – 1.5 Diagnosis and management of hypocalcaemia.

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Summer Penile Syndrome

Pediatric EM Morsels

Epub 2013 Nov 5. Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R.

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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 ). μg/kg IV Maintenance dose: 0.5 – 15 μg/kg/hr Rapid onset. Short acting. Not affected by hepatic or renal failure.

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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

Two previous studies conducted assessing the state of nationwide pediatric readiness were conducted in 2003 and 2013. Are general emergency departments ready to care for children? 1,2] Today we’re covering the third study. Pediatric readiness is important because it is associated with decreased mortality in ill and injured children. [3,