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High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

Encourage your ED to set up an algorithm that you can follow based on your laboratory’s assay. Low-risk patients do not routinely require stress testing in the ED. You (or someone in your department) needs to know which assay your ED has, and use the appropriate values for that assay. Otherwise, apply a simplified approach.

E-9-1-1 276
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Summer Penile Syndrome

Pediatric EM Morsels

McGraw Hill; 2021. J Emerg Med. 2014 Jan;46(1):e21-2. doi: 10.1016/j.jemermed.2013.08.081. 2013.08.081. Epub 2013 Nov 5. PMID: 24199728. Shah A, Sobolewski B, Mittiga MR. Summer Penile Syndrome. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. Accessed September 06, 2023.

EMS 275
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BPAP vs AVAPS for Hypercapnic Respiratory Failure in the ED

REBEL EM

Balkan Med J 2021. The AVAPS mode is as effective and safe as BPAP S/T in treating patients with hypercapnic respiratory failure in the ED.” Clinical Take Home Point: I n patients presenting to the ED with hypercapnic respiratory failure, AVAPS did lead to a faster improvement in pH and PaCO2 levels compared to BPAP S/T.

ED 133
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Pseudoparalysis of Parrot

Pediatric EM Morsels

Now, let’s discuss another complication of “The Great Mimicker” which may throw us for a loop in the ED – Pseudoparalysis of Parrot : Pseudoparalysis of Parrot – Basics First described by Jules Marie Parrot in 1871. In 2021 there were almost 177,000 cases of syphilis. July 22, 2021. The Journal of Pediatrics.

Plasma 269
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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Let’s take a take a minute to review Superior Mesenteric Artery Syndrome presenting in the ED so we will be prepared when you see it! England, 2021) The third portion of the duodenum courses between the SMA and the aorta, which can lead to external compression of the duodenum. England, 2021). Record, 2015).

E-9-1-1 246
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SGEM#342: Should We Get Physical, Therapy for Minor Musculoskeletal Disorders in the ED?

The Skeptics' Guide to EM

Date: August 27th, 2021 Reference: Gagnon et al. AEM 2021 Guest Skeptic: Dagny Kane-Haas is a physiotherapist who also has a master’s degree in Clinical Science in Manipulative Therapy. Date: August 27th, 2021 Reference: Gagnon et al. first appeared on The Skeptics Guide to Emergency Medicine.

ED 130
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EM Journal Update: Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma

Core EM

2021 Background Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. A narrow pulse pressure has been shown to predict the need for hemorrhage control in the ED setting but has not been assessed as a predictor in the prehospital setting. Prehospital hypotension is one of those criteria.