Mind The Bleep

DECEMBER 19, 2023

Blood tests to collect after gaining access include: Blood gas, FBC, U&Es, CRP, and serum glucose levels. All DKA patients should have 4 hourly U&Es, and 1-2 hourly blood gasses to monitor sodium and potassium levels. Disability In DKA there may be a reduced level of consciousness.

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

EMDocs

JANUARY 17, 2024

Stephens RJ, Filip AB, Baumgartner KT, Schwarz ES, Liss DB. Impact of a drug safety communication on the severity of benzonatate exposures reported to poison centers. Pharmacoepidemiol Drug Saf. 2021;30(1):45-52. Epub 20200923. doi: 10.1002/pds.5136. PubMed PMID: 32964590. J Med Toxicol. 2022;18(4):344-9. Epub 20220705.

Poisoning 66

Poisoning Seizures Pediatrics Administration 66

Dr. Smith's ECG Blog

SEPTEMBER 12, 2023

As per the text under the ECG in Figure-2 — you only need to remember 3 valu es ( ie, 1. . == PEARL #2: For those interested — I long ago put together a user-friendly Correction Factor tha t has been surprisingly accurate for me in assessing QTc values that I’ve estimated over the past 3+ decades. 1 for a rate ~75/min; 1.

EKG/ECG 65

EKG/ECG Hospitals 65

ACEP Now

DECEMBER 11, 2023

Yu ES, Lange JJ, Broor A, et al. References Velez L, Hockstein M, Furmaga J, et al. Mimics of ST elevation myocardial infarction (STEMI). Emergency Medicine Reports website.Published June 1, 2016. Accessed November 29, 2023. Acute pancreatitis masquerading as inferior wall myocardial infarction: a review. Case Rep Gastroenterol.

EKG/ECG 52

EKG/ECG Hospitals Stroke Emergency Department 52

Dr. Smith's ECG Blog

DECEMBER 5, 2016

Here is a relevant post on the inverted T-wav es of Persistent Juvenile T-wave Pattern with many other the normal variants of T-wave inversion. It is important to remember that even a patient with a normal variant could have a myocardial infarction, just as patients with completely normal ECGs may have MI.

EKG/ECG 52

EKG/ECG Emergency Department 52

Mind The Bleep

FEBRUARY 27, 2024

Children on IV fluids should be reassessed at least every 24 hours to evaluate the need for IV fluids, review fluid balance and they should have daily U&Es. However there is insufficient evidence to suggest this is far superior to 0.9%

Fluid Resuscitation 96

Fluid Resuscitation Hospitals Dehydration Research 96

EMDocs

JULY 1, 2023

Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. This is the only situation in which aspirin is recommended for administration in children, as the benefits outweigh the risks of Reye syndrome. Rosh Review Website Link FOAMed: [link] [link] [link] References: Noorani, M., Lakhani, N. BMC Pediatrics.

EMS 64

EMS Infectious Diseases Pediatrics Research 64

EMDocs

JULY 11, 2023

Plummer ES, et al. Sites of initial bleeding episodes, mode of delivery and age of diagnosis in babies with haemophilia diagnosed before the age of 2 years: a report from The Centers for Disease Control and Prevention’s (CDC) Universal Data Collection (UDC) project. Haemophilia. 2009 Nov;15(6):1281-90. PMID: 19637999. PMID: 23968747.

Head Injuries 60

Head Injuries Pediatrics Dislocations CDC 60

EMDocs

JANUARY 29, 2024

link] Connolly ES, et al. PMID: 27276234; PMCID: PMC5345109. Lowering blood pressure in acute stroke: the SCAST trial. Lancet (London, England) , 377 (9767), 696–698.

Stroke 71

Stroke Outcomes EMS Seizures 71

EMDocs

AUGUST 7, 2023

doi:10.1136/bmj.c1475 Righini M, Van Es J, Den Exter PL, et al. Potential of an age adjusted D-dimer cut-off value to improve the exclusion of pulmonary embolism in older patients: a retrospective analysis of three large cohorts. 2010;340:c1475. Published 2010 Mar 30. 2014 Apr 23-30;311(16):1694].

EMS 67

EMS Wellness Emergency Department 67

EMDocs

MARCH 4, 2024

www.ebmedicine.net/topics Sundaram V, Björnsson ES. doi:10.1016/B978-0-323-48109-0.00036-5 Todd Taylor A, Wheatley M, Chung AS, et al. Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment. Hamad General Hospital. Drug-induced cholestasis. Hepatol Commun. 2017;1(8):726-735.

Emergency Department 85

Emergency Department Ultrasounds EMS Radiology 85

Sensible Medicine

NOVEMBER 23, 2023

Aaron Goodman asks the key question: Extended stage (ES) Small cell or Stage IV, non-small cell? For the purpose of a medical analysis, it doesn’t matter if it is Extensive Stage (ES) small cell (SCC), or multifocal, stage IV, non driver mutation+, NSCLC— both are treated similarly when it comes to double lung transplants.

Operations 129

Operations Research Wellness 129

Mind The Bleep

JULY 15, 2023

Thrombosis can occur as a renal vein thrombosis (presents with flank mass, haematuria, hypertension and renal failure), venous sinus thrombosis (would cause neurological signs), deep vein thrombosis (DVT) (causes limb pain and swelling) or a pulmonary embolus (presents with chest pain, tachypnoea, SOB and tachycardia) Investigations Urine dip (early (..)

Allergic Reactions 52

Allergic Reactions Shock Hospitals Wellness 52

Sensible Medicine

MAY 17, 2023

Community transmission of monkeypox in the United Kingdom, April to May 2022. EuroSurveill. 2022;27(22). doi:10.2807/1560-7917.ES.2022.27.22.2200422 2022.27.22.2200422 [6] Perez Duque M, Ribeiro S, Martins JV, et al. Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022. EuroSurveill. 2022;27(22). doi:10.2807/1560-7917.ES.2022.27.22.2200424

CDC 88

CDC Wellness Administration 88

Mind The Bleep

DECEMBER 16, 2023

Investigations EDTA blood (ie an FBC bottle) should be sent urgently for thick and thin films Most laboratories will also perform a rapid diagnostic test (lateral flow), which has quite good sensitivity for P falciparum and reasonable sensitivity for P vivax If the rapid test is negative, consider alternative differentials (e.g.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Infectious Diseases Best Practices Seizures 52

Mind The Bleep

JUNE 27, 2023

These include: Blood pressure Urine dip to look for proteinuria / haematuria Bloods for FBC, U&Es, coagulation, LFTs and bone profile. If there is severe abdominal pain, GI haemorrhage or acute painful testicular swelling ask for an urgent surgical review.

Sepsis 52

Sepsis 52

Don't Forget the Bubbles

JANUARY 24, 2024

2019.09.011 Rosenthal ES, Claassen J, Wainwright MS, Husain AM, Vaitkevicius H, Raines S, Hoffmann E, Colquhoun H, Doherty JJ, Kanes SJ. A pragmatic approach to intravenous anaesthetics and electroencephalographic endpoints for the treatment of refractory and super-refractory status epilepticus in critical care. 2020;75:153-164.

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Mind The Bleep

FEBRUARY 5, 2024

Benign differentials: dry eyes, episcleritis, conjunctivitis, superficial corneal injury, subconjunctival haemorrhage Also keep in mind there are neoplastic syndromes that can mimic intraocular inflammation, such as lymphoma, leukaemia, ocular melanoma and metastases.

Best Practices 52

Best Practices Outcomes 52

Mind The Bleep

SEPTEMBER 12, 2023

Investigations How you investigate depends if you feel there is central or peripheral hypotonia which is why your examination and history are so important for helping narrow down your differentials Investigations for a Central cause of Hypotonia Bloods for: FBC, U&Es, LFTs, Bone Profile, Magnesium, Blood gas, Ammonia, Glucose Cranial USS Consider (..)

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

Mind The Bleep

SEPTEMBER 26, 2023

At the time of diagnosis, it’s important to perform baseline investigations including FBC, U&Es, LFTs, vitamins ADEK, cough swab or sputum for microscopy and culture, aspergillosis IgE, and a CXR.

Radiology 96

Radiology Radiology Research Hospitals 96

Don't Forget the Bubbles

JANUARY 4, 2024

Yam JC, Zhang XJ, Zhang Y, Yip BHK, Tang F, Wong ES, Bui CHT, Kam KW, Ng MPH, Ko ST, Yip WWK, Young AL, Tham CC, Chen LJ, Pang CP. Reviewed by: Evan Araia and Katie Brazier Article 2: Should we be hypervigilant about children with refractive errors?

Burns 129

Burns Academics Hospitals Outcomes 129

Don't Forget the Bubbles

JUNE 5, 2023

Alexander ES, O’Connor M, Halkett GKB. It might also provide some insight into the effects of lockdown on the social development of children. Reviewed by: Kathryn Allen, Atif Ali, and Gireesha Verma Article 3: What effect does the diagiosis of cancer in a parent have on their children? Children (Basel). 2023 Jan 15;10(1):171.

Outcomes 124

Outcomes Research Wellness Documentation/Coding 124

Dr. Smith's ECG Blog

APRIL 8, 2015

7) Soteriades ES et al. In conclusion, ED decision-making should focus on risk of cardiac event in the first 7 days after syncope and special attention should be given to younger patients with cardiac co-morbidities. Incidence and Prognosis of Syncope” NEJM 347(12):878-885, Sept.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52