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PEMPix 2023 Online Case 2: Walk Softly

PEMBlog

She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. Patients often describe a sensation of burning or stinging pain rather than itching. 4 days earlier, she developed rhinorrhea, cough, and fever to Tmax 101F. The diagnosis can be made clinically.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." Smith comment: No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matter how normal the ECG.

EKG/ECG 95
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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

When US is available, but the tech would be required to come in at night, we don’t want to burn them out when we can use an approach with a temporizing measure so the patient can get their study safely n a less emergent timeframe.

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Ten Commandments for Emergency Professionals; a compendium

Advanced Emergency Nursing from AENJ

Ten commandments of burn management Gupta J L. Ten commandments of burn management. Indian J Burns 2012;20:7-10 Transfusion ten commandments U.K. NHS Airway The Ten Commandments of Airway Management Slovis, C. Simple lessons to guide oxygenation & ventilation. Memon, A., & Kaliff, J.