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The emergency management of mediastinal masses

Don't Forget the Bubbles

One final option is emergent transfer, prior to intubation, to a centre that has ECMO on standby. Children who have a malignant tumour may require chemotherapy or radiotherapy, though, significant destruction of tumour cells may cause tumour lysis syndrome and complicate diagnosis – this management should be guided by the oncology team.

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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. Each article will take a deeper dive into each recommendation’s supporting evidence and practical implications. She has had two days of coryzal symptoms and fever. What is the evidence for avoiding imaging?

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

EMDocs

12 How do we address these disparities in the emergency department? You may be more familiar with the term “limited English proficiency” (LEP), defined as: someone who does not speak English as their primary language and has a limited ability to read, speak, write, or understand English.

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

REBEL EM

A naphylaxis – Emergency Medicine Updates 2. Incidence of clinically important biphasic reactions in emergency department patients with allergic reactions or anaphylaxis. Annals of Emergency Medicine 2014 Jun;63(6):736-44 Lee S, Bellolio F, Hess E, Erwin P, Murad M, Campbell R. His vital signs are normal.

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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

Smith comment: Go here for a comprehensive blog post on syncope and link to the most detailed version of the Canadian Syncope Rule: Emergency Department Syncope Workup. To EMPHASIZE: What follows are advanced concepts that extend well beyond what is needed for appropriate emergency management of today's patient.

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Steroid and Allergy

Emergency Medicine Education

Biphasic anaphylaxis: A review of the literature and implications for emergency management Corticosteroids in management of anaphylaxis; a systematic review of evidence

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How To Manage Tracheo-Innominate Fistula

ACEP Now

A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. 7,8 The significance of this is clear: bronchoscopy or angiography may not suffice to make the diagnosis in the emergency setting.

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