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

ALiEM

The 2022 American College of Cardiology (ACC) pathway provides timely guidance [1]. 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. We help you translate this to your clinical practice, by illustrating with a case.

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ED Management of Minor Thermal Burns

Core EM

Br Med J (Clin Res Ed). Br Med J (Clin Res Ed). Updated 2022 May 30]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. EM Cases – Burn and Inhalation Injuries: Ed Wound Care, Resuscitation and Airway Management.” Management of Local Burn Wounds in the Ed.” Tintinalli, et al. doi: 10.1136/bmj.295.6591.181.

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

Let’s consider Inborn Errors of Metabolism Presenting in the ED : Inborn Errors of Metabolism: Basics Common Presentations, Uncommon Kiddos For the child with lethargy, vomiting, acidosis, hypoglycemia , organomegaly, or cardiopulmonary arrest remember to consider Inborn Errors of Metabolism (IEM) on your DDx. Pediatrics. Samantha A.

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SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

The Skeptics' Guide to EM

Trauma Surg Acute Care Open 2022 Guest Skeptic: Dr. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anesthesia, and critical care. Casey […] The post SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease first appeared on The Skeptics Guide to Emergency Medicine.

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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013.

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Podcast 186.0: Hypocalcemia

Core EM

A quick primer on hypocalcemia in the ED. Accessed April 29, 2022. 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. Retrieved April 29, 2022, from [link] Vantour L, Goltzman D. UpToDate; Jul 17, 2020.

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Prehospital activation: De-activated on ED arrival by Cardiologist because "It's not a STEMI"

Dr. Smith's ECG Blog

The cath lab was deactivated by cardiologist on arrival at ED because it was "not a STEMI". He presented to the ED for evaluation chest pain. It was in his central and left chest, radiated to his left arm, and he experienced some cold sweats and nausea prompting him to call 911 and he was brought to ED via ambulance.

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