Fri.Aug 18, 2023

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Fluoroquinolone Use In Children

Pediatric EM Morsels

When you read the Morsel on Perichonditis of the ear last week ( or perhaps the Plantar Puncture Morsel from many many many weeks ago ) you may have objected because of the mention that, when indicated, fluroquinolones are safe in children. Some of you may have thought to yourself “first the AAP allows tetracycline ( Rocky Mountain Spotted Fever ) and now they allow fluoroquinolones use in children… what next?!

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Crafting And Refining Your Massive Transfusion Protocol – Part 3

The Trauma Pro

Let’s continue with my series on the massive transfusion protocol (MTP). I’ll continue today with information on deactivating and analyzing your MTP. Deactivation. There are two components to this: recognizing that high volume blood products are no longer needed, and communicating this with the blood bank. As bleeding comes under surgical control, and CBC and clotting parameters (and maybe TEG/ROTEM) normalize, the pace of transfusion slows, and ultimately stops.

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Nirsevimab is Great News for Infants, Caregivers, and Exhausted Pediatricians

Science Based Medicine

RSV is a terrible infection that puts thousands of kids in the hospital every year and can be deadly. We will soon have a safe and effective way to prevent many of these severe cases, but it won't be easy to get shots into arms this season. The post Nirsevimab is Great News for Infants, Caregivers, and Exhausted Pediatricians first appeared on Science-Based Medicine.

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The Opiates in Back Pain Conundrum

EM Literature of Note

We do love to give out opiates in the emergency department. Kidney stone? Opiates. Broken arm? Opiates. Gunshot wound? Opiates. Sore throat? Dexamethasone. And opiates. So of course we’re here with opiates for your back pain. In this modern day, we are far, far more judicious than in times of yore, back when pharma had lobbied for pain to become the “fifth vital sign” But, nonetheless, those patients who are struggling to manage despite non-opiate analgesia frequently end up wi

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Zac's Path: Earning the Role of Senior Recruiter and Mentor

Core Medical Group

In the fast-moving space of healthcare staffing, connecting the right professionals with critical roles requires tactfulness and expertise. With almost two years of experience to his credit, Zac has proven himself a seasoned authority in Allied healthcare recruitment.

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Cardiac arrhythmia: causes, symptoms, diagnosis and treatment

Emergency Live

Let's talk about cardiac arrhythmia. The heart is a muscle whose basic task is to circulate blood throughout the body The post Cardiac arrhythmia: causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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Splenic Injury Grades

University of Maryland Department of Emergency Med

Splenic injury treatment depends on the grade of injury. In general, grades 1 and 2 are non-operatively managed. Grades 4 and.

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Post mortem Ct scan study identifies blunt traumatic arrest injuries

University of Maryland Department of Emergency Med

In a study looking at 80 blunt trauma patients that died within 1 hour of arrival to a trauma center who underwent a noncontrast post mortem CT.

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ECG Blog #391 — Asymptomatic but Irregular.

Ken Grauer, MD

This patient was seen in the office — and during his exam, was found to have an “irregular heart beat”. He was not symptomatic with the ECG shown in Figure-1. How would YOU interpret this ECG? As the primary care clinician — What would YOU do? Extra Credit ( which is a HINT to the Answer! ): How many beats are recorded on the ECG in Figure-1 ? Figure-1: The initial ECG in today’s case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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How we can better approach traumatic cardiac arrest

University of Maryland Department of Emergency Med

The authors of this paper suggest the following changes, supported by evidence, to the management of traumatic cardiac arrest: 1. &nbs.

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Prehospital vs ED arrival blood in pediatric patients.

University of Maryland Department of Emergency Med

In this small propensity matching study looking at prehospital blood transfusion vs. emergency department blood transfusion in trauma patients ag.

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Rural damage control laparotomy can be life saving

University of Maryland Department of Emergency Med

For rural emergency departments, the decision to transfer a trauma patient to a level one center involves multiple factors including the p.