Mon.Sep 30, 2024

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SAEM Clinical Images Series: Didn’t See That Coming

ALiEM

A 23-year-old healthy male presented to the emergency department with left eye pain, soreness, and blurry vision after being hit in the left eye with a Nerf gun bullet two days prior. He had no prior ophthalmologic history and does not wear corrective lenses. Physical Exam Left eye : Visual acuity 20/30. Intraocular Pressure 17. Pupil 3mm, irregular, minimally reactive.

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Oral antibiotics are noninferior to IV in pediatric bone and joint infections (obviously)

First 10 EM

Some topics come up over and over again, and it may seem somewhat repetitive or wasteful to spend so much time on them, but seeing as so many people are still using outpatient IV antibiotics despite overwhelming evidence that oral antibiotics are just as good, if not better, I will continue to cover papers as […] The post Oral antibiotics are noninferior to IV in pediatric bone and joint infections (obviously) appeared first on First10EM.

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Tasty Morsels of Critical Care 083 | Chylothorax

Emergency Medicine Ireland

Welcome back to the tasty morsels of critical care podcast. Today we look at quite a niche topic, that of chylothorax. We are used to many things in the pleural space, like simple fluid or blood or air but the presence of the myseterious substance chyle is a much more unusual and note worthy event. As a reminder of the basics which I of course knew implicitly and definitely did not have to resort to wikipedia to check… Chyle is largely formed in the small intestine as the gut transports fr

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emDOCs Videocast: EBM Update – Inhaled Corticosteroids for Asthma in the ED

EMDocs

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today’s video evaluates inhaled corticosteroids (ICS) for asthma in the ED setting. EBM Updates: Inhaled Corticosteroids for Asthma in the ED Background : Asthma is a common ED issue, with patient presentations ranging from needing a medication refill to severe exacerbation in respiratory failure.

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Episode 144 Deep Dive: End Tidal CO2 in Cardiac Arrest

Prehospital Emergency Care Podcast

Cardiac arrest in the prehospital setting continues to be a critical area of focus for EMS clinicians, especially when it comes to measuring ventilation and perfusion. In this episode, we’ll do a deep dive on new research investigating the role of end tidal carbon dioxide (ETCO2) as a potential indicator of survival in out-of-hospital cardiac arrests.

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Chest Pain – MLA Learning Module

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Chest Pain Learning Objectives The student will be able to assess a patient with chest pain to produce a valid differential diagnosis, investigate appropriately, formulate, and implement a management plan. […] The post Chest Pain – MLA Learning Module appeared first on St.Emlyn's.

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Did Not Wait – DNW

Don't Forget the Bubbles

In the UK, as in most developed countries, more patients are presenting to Emergency Departments (EDs) with minor illnesses or injuries. Critically unwell or injured patients are prioritised, whereas those who are felt to be less unwell wait longer for clinical review. Simpson et al. examined 977,907 first-time ED presentations by children aged 0-15 across thirteen acute hospital trusts (between April 2014 and March 2017), trying to figure out how many were non-urgent. 21.4% of these were felt t