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Glasgow Coma Scale in Children

Pediatric EM Morsels

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. Predicting outcome in individual patients after severe head injury.

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SAEM Clinical Images Series: Seeing Double

ALiEM

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. Usually, MS is seen in younger patients where both eyes are affected whereas strokes occur more often in older patients and only one eye is affected. Korean J Neurotrauma.

Stroke 67
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SGEM#406: Homeward Bound…after a dose of Intranasal Fentanyl for Sickle Cell Vaso-occlusive Pain

The Skeptics' Guide to EM

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. Date: June 15, 2023 Reference: Rees CA et al. Date: June 15, 2023 Reference: Rees CA et al. Reference: Rees CA et al.

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Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain

ACEP Now

Intranasal Fentanyl for Sickle Cell Vaso-Occlusive Pain Case A 15-year-old female with sickle cell disease (SCD) presents to your emergency department (ED) with a vaso-occlusive pain episode (VOE) of her legs and back. She has a history of similar episodes. There are no other concerning aspects to her examination. Am J Hematol.

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SGEM#364: Don’t You Forget About Me – DW:MRI Sensitivity for Transient Global Amnesia

The Skeptics' Guide to EM

AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. AEM April 2022 Guest Skeptic: Dr. Chris Bond is an emergency medicine physician and assistant Professor at the University of Calgary. Date: April 7th, 2022 Reference: Wong et al.

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Emergency Medicine Deserves to “Re-Brand” Itself as a Cost Saver

ACEP Now

Emergency physicians have earned the right to “re-brand” ourselves as indispensable, money-saving change agents in the health care enterprise. Of course, the bill for any episode of emergency department (ED) care can be substantial, exceeding the billed charges for equivalent care provided in some primary care offices.

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Annals of B Pod: Anti-Xa Overdose

Taming the SRU

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. After rescue, she had an apparent head injury and was confused but protecting her airway with grossly normal vital signs. The patient is agitated on a backboard with C-collar in place.