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ABG Versus VBG in the Emergency Department

EMDocs

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). 2014 Feb;19(2):168-175. Epub 2014 Jan 3. Int J Emerg Med. Eur J Emerg Med. 2014 Apr;21(2):81-8. Emerg Med J. Respirology.

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The Pause- a recognition of a life

Don't Forget the Bubbles

In most Emergency Departments, staff are allotted little of that scarce resource, time, to begin processing what has just occurred. The Pause Jonathon Bartels worked as an Emergency Nurse in America in 2009. After the death of a young person in the Emergency Department, he initiated ‘ The Pause.’ 23 (2), pp.

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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. Date: September 20th, 2021 Reference: Litell et al.

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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

2014 Feb;69(2):144-51. Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Epub 2013 Aug 7. PMID: 23925645 Davila J, O’Brien SH, Mitchell WB, Manwani D. Am J Hematol.

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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. Iran Red Crescent Med J 16: e5072, 2014. Parenteral organophosphorus poisoning in a rural emergency department: a case report.

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EM@3AM: Basilar Artery Occlusion

EMDocs

All patients who receive thrombolytics for ischemic stroke should be admitted to a neurosurgical, neurologic, or medical ICU for management and monitoring, as this is shown to decrease mortality and length of stay. Application of the ABCD2 score to identify cerebrovascular causes of dizziness in the emergency department.

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