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In the Literature

JournalFeed Weekly Wrap-Up

This week's JournalFeed Wrap-Up covers a variety of topics including cricoid pressure in pediatric intubation, time to thrombolysis in ischemic stroke, and risk of thoracotomy.

PEM Playbook

PEM Playbook – The Pediatric Surgical Abdomen

Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not. One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Morbidity and mortality varies by age and condition.


EM@3AM: Idiopathic Thrombocytopenic Purpura

A 72-year-old male presents with fatigue for months. He sometimes has prolonged bleeding when he brushes his teeth. He denies weight loss, night sweats, or any other symptoms apart from his fatigue. He has no significant past medical or surgical history, and his VS are normal. Exam is unremarkable except for one hemorrhagic bullae on his oral mucosa. He has no lymphadenopathy or hepatosplenomegaly. What are the next steps in management?