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2014 Jan;46(1):e21-2. Summer Penile Syndrome consists of painless pruritus with circumferential edema of the distal penile shaft just proximal to the glans Basics are the Best! Treatment is supportive. References: Schulert GS, Gigante J. Summer penile syndrome: an acute hypersensitivity reaction. J Emerg Med. doi: 10.1016/j.jemermed.2013.08.081.
It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children. St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma.
Acetaminophen ( Williams et al Lancet 2014) * Muscle relaxants ( Friedman et al JAMA 2015) * NSAIDs ( Machado et al Ann Rheum Dis 2017) * Steroids ( Balakrishnamoorthy et al Emerg Med J 2014) * Benzodiazepines ( Friedman et al Ann Emerg Med 2017) Many non-pharmacologic therapies have also been tried with limited efficacy.
In 2009, the Cochrane group questioned Roche about the completeness of the data and after four years of requests, finally got access to all the data in 2013 and updated their review in 2014. We covered this SRMA on SGEM#98.
2014, (Ch) 125: p 1636-53. Pfenning CL, Slovis CM: Electrolyte Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Louis, Mosby, Inc., Swaminathan, A. 2016, January 27). Hypocalcemia. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D.
A clinical decision tool called the STUMBL score was derived and validated by Battle et al in 2014 [3]. With the 2014 CDC declaration that prescription drug overdose is one of the five top health threats, there has been a movement away from opioids as the mainstay of pain management for rib fractures [6].
A 51yr old presents with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical … Continue reading →
This week’s ECG is from a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. No significant medical history or medications. See the ECG at: ECG of the Week &#…
This week’s ECG case is a rhythm strip from a 77yr old male. He has a history of hypertension and hypercholesterolaemia. He complained of chest pain during this ECG recording. Check out the E…
One of the best systematic reviews and meta-analyses on the topic discussing the diagnostic accuracy of the history, physical examination and imaging is by Carpenter et al from AEM 2014 [1]. We went into some detail on SGEM#385. Initial Xray’s pick up only about 17% of fractures [2].
This week’s case had a 97yr old presenting with presyncope, and 2 ECG’s performed only 1 minute apart. Check out the interpretation … Continue reading →
Clinical conclusion and interpretation on last week’s ECG case of a middle aged male who presented to the Emergency Department with … Continue reading →
I know I have not been as active the last year, due to a variety of reasons, but 2014 has been a very good year for me. I remember posting in the beginning of 2014 that I had a good feeling about this year, that it was a new beginning for me in so many ways and it was so true. This blog was viewed about 45,000 times in 2014.
2, 2014, pp. High-quality images obtained in <1 minute in 87.9% of scans conducted and in <5 minutes in 100% of scans Ferre et al., times more attempts in the landmark group and up to 1.7 times more attempts when adjusted for BMI Gottlieb et al., for landmark LP Odds ratio 2.22 The Journal of Emergency Medicine , vol. 2, 2005, pp.
Although the mortality rate in patients with Coronavirus in this outbreak is less than 1% (which pales in comparison to Ebola or SARS), historically these types of outbreaks have occured every 5-6 years (SARS 2003, HINI 2009, Ebola 2014, Coronavirus 2020), so they are somewhat predictable and we should know how to prepare for them in our EDs.
Rose 2014) They are the most frequently prescribed class of medications in adults; however, in children they are the least frequently prescribed class , <2% of antibiotics. Hersh 2014) Fluoroquinolone Use in Children: Indications for use Let’s keep this simple, Pseudomonas ! The low dose range (30 mg/kg) did show sporadic lesions.
In 2014, the CDC reported that UTI antibiotic treatment was avoidable at least 39% of the time. Over-diagnosis and treatment results from the fact that asymptomatic bacteriuria is very common in all age groups, urine cultures are frequently ordered without an appropriate indication, and urinalysis results are often misinterpreted.
Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.
These include: acetaminophen ( Williams et al Lancet 2014), steroids ( Balakrishnamoorthy et al Emerg Med J 2014) and benzodiazepines ( Friedman et al Ann Emerg Med 2017). Many pharmaceutical treatments besides opioids have been tried to address acute LBP pain with limited success ( SGEM#87 and SGEM#173 ).
The National Heart, Lung, and Blood Institute (NHLBI) released an expert panel report in 2014 with evidence-based guidelines for management of sickle cell disease recommending timely administration of parenteral opioids for VOE. [7] 1-6] Children with SCD presenting to the ED with VOE require timely and effective pain control.
link] com staff (2014). “Medical gallery of Blausen Medical 2014” WikiJournal of Medicine 1 (2). Gill, M., & Ganti, L. Stercoral Colitis Secondary to Opiate-Induced Constipation. Cureus, 15(12), e50511. DOI:10.15347/wjm/2014.010. ISSN 2002-4436.
. “A monograph on the Isopoda Cymothoidae (Crustacea) of the eastern Pacific.” ” Zoological Journal of the Linnean Society 73.2 1981): 117-199. Bruce, N.L. and Hadfield, K.A., Global diversity of fish parasitic isopod crustaceans of the family Cymothoidae. International Journal for Parasitology: Parasites and Wildlife, 3(2), pp.188-197.
The post was peer reviewed on behalf of ACMT by Drs. Brent Furbee, Bryan Judge, and Louise Kao. Read More in the Series References Peredy. Mushrooms, Coprine. Encyclopedia of Toxicology (Third Edition), Academic Press. doi: 10.1016/B978-0-12-386454-3.00754-5. Goldfrank L. In: Goldfrank’ s Toxicologic Emergencies. Hoffman et al. New York, NY.
up to 23% ( Lieberman 2005 , Rohacek 2014 , Tole 2007 , Grunau 2014 ). Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs. Biphasic anaphylactic reactions: occurrence and mortality Allergy 2014 Jun;69(6):791-7 Tole JW, Lieberman P.
There was a trial published in 2014 comparing radiology department ultrasound, POCUS and CT for suspected nephrolithiasis (Smith-Bindman et al. NEJM 2014 ). We covered this on SGEM#97 with Dr. Tony Seupaul and Dr. Spencer Wright.
2014): 6-7. ” Internal and emergency medicine 9 (2014): 249-256. 2014): 19-36. Tune in today! History Biology Anderson, Warwick H., “Gut Reactions—From Celiac Affection to Autoimmune Model.” ” New England Journal of Medicine 371.1 Rubio-Tapia, A., Kelly, C.P., Greer, K.B., Limketkai, B.N. and Lebwohl, B.,
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