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The emergency management of mediastinal masses

Don't Forget the Bubbles

You contact ICU, anaesthetics, ENT, and oncology with a plan to attempt more definitive imaging in the prone position (which Ginny tells you is much comfier) What’s the evidence for our emergent management? Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

Review toolkits and studies that provide strategies for advancing language justice in your ED: Betancourt JRRM, et al. Lion KC, et al. Regenstein M, et al. Taira B, et al. Taira B, et al. An implementation science approach improves language access in the emergency department. Lim T, Campbell R, et al.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

doi:10.1093/tropej/fmz071 Expert Panel on Pediatric Imaging, Trofimova A, Milla SS, et al. 2019-0134 Hirtz D, Ashwal S, Berg A, et al. The role of brain computed tomography in evaluating children with new onset of seizures in the emergency department. Seizure patient selection for emergency computed tomography.

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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

REBEL EM

Biphasic anaphylaxis: A review of the literature and implications for emergency management. The American Journal of Emergency Medicine 2018 Aug;36(8):1480-1485 Shaker M, et al. The Journal of Allergy and Clinical Immunology 2020 Apr;8(4):1230-1238. Ali P, Robinson C, Syed W, Mazer-Amirshahi M.

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How To Manage Tracheo-Innominate Fistula

ACEP Now

13 Emergency Management The immediate management includes overinflation of the cuff of the tracheostomy or endotracheal tube, and aspiration of blood to clear the airway. Scalise P, Prunk SR, Healy D, et al. Furukawa K, Kamohara K, Itoh M, et al. Grant CA, Dempsey G, Harrison J, et al. 2013:1960-62.

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The 70th Bubble Wrap – DFTB x MSc in PEM

Don't Forget the Bubbles

Forestell B, Battaglia F, Sharif S, et al. Prekker ME, Bjorklund AR, Myers C, et al. Ann Emerg Med. Higher quality evidence is needed to recommend for or against using the bougie as a first-line technique in paediatric airway management. O’Connell KJ, Sandler A, Dutta A, et al. O’Connell et al.

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A Covid patient with cough and Fever. Why does the ST-T wave look so abnormal?

Dr. Smith's ECG Blog

Emergency management will not be altered not knowing if this rhythm represents 2:1 AFlutter vs 2:1 ATach. Among the ECG findings you may see in a patient with cardiac amyloidosis are the following ( Cheng et al and O’Donnell et al ): Low voltage in limb leads. BOTTOM Line: There is a regular atrial rhythm at ~150/minute.

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