Fri.May 12, 2023

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Leukocytosis After Splenic Injury

The Trauma Pro

Any trauma professional who has dealt with spleen injuries knows that the white blood cell (WBC) count rises afterwards. And unfortunately, this elevation can be confusing if the patient is at risk for developing inflammatory or infectious processes that might be monitored using the WBC count. Is there any rhyme or reason to how high WBCs will rise after injury?

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Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel

Pediatric EM Morsels

We all know that Gravity Works ! While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age ! We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. Since that time there have been several studies externally validating the PECARN rule in all age groups and in multiple different countries.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

Introduction Patients with liver disease are common in the UK. Since 1970, mortality from liver disease has quadrupled. It has become the greatest cause of death in people aged between 35-49 years old 1. It is important you know how to manage these patients in the medical take or on general medical wards and are aware of the complexities of their management.

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More Marijuana More Problems for Young Children Part 2: Additional Problems for the Aforementioned Children

Science Based Medicine

A recent study found that young children are increasingly being harmed by accidental ingestion of cannabis in the form of edibles. The post More Marijuana More Problems for Young Children Part 2: Additional Problems for the Aforementioned Children first appeared on Science-Based Medicine.

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Pleural effusion

Mind The Bleep

As a foundation doctor, shortness of breath is one of the commonest symptoms you can encounter on the acute take. Causes of shortness of breath are very broad but in this session, we will discuss pleural effusion. The management will vary depending on the causes of pleural effusion, therefore the diagnostic approach is important. The first step is confirmation of pleural effusion clinically or radiologically (chest x-ray or ultrasound).

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What is Prehospital care?

PHARM

What is prehospital care? By definition it is not hospital care. WHilst some regard the ability to deliver hospital based interventions in a prehospital setting as a form of prehospital care this will always be an approximation. Some things simply cannot be done to the same standard. Put simply its location and resources available that define prehospital care.

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UCHealth Partners with NRC Health to Improve Healthcare Experiences

NRC Health

Innovative approach and service-leading team set NRC Health apart in exhaustive selection process. The post UCHealth Partners with NRC Health to Improve Healthcare Experiences appeared first on NRC Health.

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ECG Blog #379 — Why Tachy on Telemetry?

Ken Grauer, MD

I was sent the rhythm strip shown in Figure-1 — obtained from telemetry monitoring. I did not know the history. Can YOU explain what happens after beat #4? Figure-1: Multi-lead rhythm strip obtained from telemetry monitoring. MY Thoughts on the Rhythm Strip in Figure-1: The first 4 beats in this 11-beat rhythm strip are sinus — as determined by the presence of regular upright P waves , with a constant PR interval in lead II ( RED arrows in Figure-2 ).

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