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First10EM Journal Club: December 2023

Broome Docs

Summerlin JA, Scaturo N, Lund JA, Wang KM, Frank MA. J Thromb Haemost. 2023 May 30:S1538-7836(23)00438-5. doi: 10.1016/j.jtha.2023.05.023. 2023.05.023. PMID: 37263381 You can read Casey’s extended written post on this trial here: How Good is Gestalt? Adverse events of undiluted intravenous push levetiracetam. Am J Emerg Med.

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Paediatric Idiopathic Intracranial Hypertension

Don't Forget the Bubbles

Image adapted by Holland JA et al. Image adapted by Holland JA et al. The manometer has a 3-way tap; it is important to ensure this is not too tight to open after insertion. Stackable columns should be assembled under sterile conditions before starting the procedure. Manometer three-way tap. 2013 Sep 24;81(13):1159-65. PMID: 23966248.

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Fast Facts: Traumatic Bladder Rupture

PEMBlog

References Morey AF, Brandes S, Dugi DD 3rd, Armstrong JH, Breyer BN, Broghammer JA, Erickson BA, Holzbeierlein J, Hudak SJ, Pruitt JH, Reston JT, Santucci RA, Smith TG 3rd, Wessells H. While approximately 80% of patients with bladder rupture have pelvic fractures, bladder ruptures are found in less than 10% of patients with pelvic fractures.

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Rosh Review EM Scholar Monthly Question

RebelEM

Ethanol and isopropyl alcohol intoxication Ethanol intoxication only Ethylene glycol and ethanol intoxication Methanol and ethanol intoxication FOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOW References Kraut JA, Mullins ME. Toxic alcohols. N Engl J Med. 2018;378(3):270–280. link] Lima R. Toxic alcohols. NUEM blog website.

EMS 52
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Fracture Fridays: Keeping up with the Joneses

PEMBlog

Herrera-Soto JA, Scherb M, Duffy MF, Albright JC. The risk of treatment failure and delay in return to sports were significantly greater in those managed with casting alone. References Bica D, Sprouse RA, Armen J. Diagnosis and Management of Common Foot Fractures. Am Fam Physician. 2016 Feb 1;93(3):183-91. PMID: 26926612. J Pediatr Orthop.

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First10EM Journal Club: May 2024

Broome Docs

Pfizer… pft… not so EPIC SR Hammond J, Fountaine RJ, Yunis C, Fleishaker D, Almas M, Bao W, Wisemandle W, Baniecki ML, Hendrick VM, Kalfov V, Simón-Campos JA, Pypstra R, Rusnak JM. PMID: 38240498. Nirmatrelvir for Vaccinated or Unvaccinated Adult Outpatients with Covid-19. N Engl J Med. 2024 Apr 4;390(13):1186-1195.

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SAEM Clinical Images Series: Only a Flesh Wound

ALiEM

Múnera F, Soto JA, Palacio D, Velez SM, Medina E. Computed tomographic angiography versus conventional angiography for the diagnosis of blunt cerebrovascular injury in trauma patients. The Journal of Trauma. 2009 Nov;67(5):1046-1050. DOI: 10.1097/ta.0b013e3181b83b63. 0b013e3181b83b63. PMID: 19901666. 2000 Aug;216(2):356-62. r00jl25356.