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PECARN STELAR Podcast – Episode 7: Special Pathogens

In this episode, we are joined by Brad Goldberg, MD (Children's Hospital Los Angeles), Erika Cheung, RN (Children's Hospital Los Angeles), and Pooja Nawathe, MD (Cedars-Sinai)—leaders from the LA County Special Pathogens Program. Together, we discuss how emergency clinicians can recognize, isolate, and respond to patients with emerging infectious diseases using the practical Identify, Isolate, Inform (III) framework. From travel screening and PPE to isolation protocols and communication with public health, this episode is packed with practical pearls to help your team prepare before the next outbreak arrives.

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    Articles

    emDOCs Podcast – Episode 141: Acute Limb Ischemia

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    The emDOCs Podcast returns with acute limb ischemia. What should you look for on history and exam, what tests are necessary, and how should you manage acute limb ischemia?
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers CT with contrast and renal injury, prolonged pediatric fever, and steroids in severe CAP in pediatric patients.
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    • electrocardiography

    ECG Pointers: MVC with Spinal Injury

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    Dr. Tannenbaum covers a challenging trauma case with spine injury.
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    EM@3AM: Septic Abortion

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    A 24-year-old female G4P1 who is 9 weeks pregnant presents with abdominal pain and vaginal bleeding for 3 days. Vital signs include HR 115, BP 100/76, T 38.7, RR 13, SpO2 99% on RA. She is ill-appearing and has tenderness to palpation of the bilateral lower quadrants and suprapubic region.
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    • FOAMED, FOAMTOX, practice updates

    Kratom in the ED: Pearls and Pitfalls

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    What do emergency clinicians need to know about kratom?
    Kratom
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers the PRoMPT trial, findings for pediatric concussion, and bicarb for hyponatremia.
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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