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Journal Feed Weekly Wrap-Up

Journal Feed covers detorsing pediatric testicular torsion, compartment syndrome, and use of an alcohol pad as an antiemetic.

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    Articles

    • Podcast

    emDOCs Podcast – Episode 147: Multiple Myeloma Part 1

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    Today on the emDOCs cast Brit Long covers part 1 of multiple myeloma: initial presentation and hematologic, renal, and calcium issues.
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed returns with rocuronium dosing, one and done dexamethasone in pediatric asthma, predictors of mortality in necrotizing fasciitis, and best needle decompression site in obesity.
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    Shift Pearls: Acute Heart Failure Exacerbation Disposition

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    Shift Pearls returns with disposition of the ED patient with heart failure exacerbation.
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    • em@3am

    EM@3AM: Thoracic Outlet Syndrome

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    A 35-year-old female presents with intermittent right arm pain and numbness that has been worsening for the last month. Symptoms are worsened by lifting her arm above her head. She has also noticed new hand swelling and a “cold” sensation in her fingertips. On exam, she has diminished sensation in
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    • electrocardiography

    ECG Pointers: The Journey of aVR

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    ECG pointers focuses on lead aVR this week. From The Forgotten Lead to the Harbinger of Left Main Disease to …
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    • Podcast

    emDOCs Podcast – Episode 146: Pediatric Gastric and Midgut Volvulus

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    What should you be considering with the infant with bilious emesis?
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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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