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Bubble Wrap PLUS – June 2023

Don't Forget the Bubbles

Predicting respiratory failure and outcome in pediatric Guillain-Barré syndrome. Long-Term Outcomes of Antegrade Continence Enemas to Treat Constipation and Fecal Incontinence in Children. 2023 May 24 Paternal age, risk of congenital anomalies, and birth outcomes: a population-based cohort study. Wolstencroft J, et al.

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

The sodium, calcium, and potassium can be checked in settings with access to rapid point-of-care testing. Electrolytes Think about hyponatremia or hypernatremia (especially at <125 or >160, respectively), hypocalcemia, hypo/hyperkalemia, hypomagnesemia, or hypophosphatemia.

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Emergency Physician Provides HIV and Hepatitis C Testing, Counseling to Underserved Communities

ACEP Now

At the time, those who wanted to get tested for HIV had to go to receive an hour of counseling and then wait a week for their results. As the science was progressing into point-of-care testing, Dr. Calderon and her colleagues started testing different options for providing HIV counseling in the ED.

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Diagnostics: Inflammatory Markers

Taming the SRU

Significantly elevated CRP (>122mg/L) and PCT (>0.5ng/mL) levels are predictors of bad outcomes, and are useful for tracking therapy progress, but are not specific enough to rule-in infectious endocarditis [38-39]. Diagnostic accuracy of point-of-care tests in acute community-acquired lower respiratory tract infections.

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Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

With opportunities to improve outcomes for both the fetus and the mother, I’m confident that this episode will be worth your time. Nachi: For patient who have a threatened miscarriage in the first trimester, there is a 2-fold increased risk of subsequent maternal and fetal adverse outcomes. Gadolinium should always be avoided.