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Acute Transverse Myelitis in Children

Pediatric EM Morsels

References Absoud, Michael et al. 2019, doi:10.3390/children6050070 Wolf, Varina L et al. ALWAYS rule out a compressive lesion, this is a medical emergency! REMEMBER, ATM can come with other baggage (i.e. first sign of MS). These patients will require ongoing surveillance and management. Pediatric transverse myelitis.” Neurology vol.

Plasma 141
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Recognition and Treatment of Thrombotic Thrombocytopenic Purpura

ACEP Now

Therapeutic plasma exchange (TPE) with fresh frozen plasma (FFP) is the first-line treatment, by simultaneously supplying fresh ADAMTS13 and removing anti-ADAMTS13 autoantibodies. References Sukumar S, Lämmle B, et al. Kessler CS, Khan BA, et al. Li XM, Mo XY, et al. 2021;46:556-9 Long B, Bridwell RE, et al.

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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

References Katibi OS, Olaosebikan R, et al. Joskow R, Belson M, et al. Ajayi AM, Ayodele EO, et al. Sanford AA, Isenberg SL, et al. Quantification of hypoglycin A and methylenecyclopropylglycine in human plasma by HPLC-MS/MS. Updated 03/05/2024. Accessed March 23, 2024. Accessed March 23, 2024.

Plasma 40
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Postpartum Hemorrhage: The Chapter We Skipped.

FOAMfrat

Moreover, LTOWB also allows us to administer platelets and plasma, in addition to red cells, to promote clotting and homeostasis. If you don't have access to LTOWB and are administering component therapies such as PRBCs or plasma, this is still incredible and I highly encourage it! Minino AM, Heron MP, Murphy SL, et al.

Plasma 69
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Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

One side effect of this medication is that it can reduce the absorption of antiepileptic medications such as valproate, vigabatrin, and lamotrigine and reduce their plasma concentration, thus putting patients taking these medications at higher risk of seizure. Sodhi M, Rezaeianzadeh R, Kezouh A, et al. Accessed January 11, 2024.

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EM@3AM: Neurosyphilis

EMDocs

The development of an inflammatory process is largely due to the infiltration of lymphocytes and plasma cells which ultimately result in nerve damage (e.g., Rosh Review Website Link References: Tudor ME, Al Aboud AM, Leslie SW, Gossman W. Treasure Island (FL): StatPearls Publishing; April 21, 2024. Updated 2024 Apr 21].

EMS 91
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A guide to major haemorrhage management in paediatrics

Don't Forget the Bubbles

Karageorgos S, Ren D, Ranaweera M, et al. Published Online First: 24 June 2024. doi: 10.1136/archdischild-2024-327224 Six-year-old Rhaenyra is brought into the emergency department after being hit by a car. Re ferences Al-Jeabory M, Gasecka A, Wieczorek W, Mayer-Szary J, Jaguszewski MJ, Szarpak L. Published 2024 May 28.