Shift Pearls: Spinal Epidural Abscess
Shift pearls returns with spinal epidural abscess.
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FOAMed
EM@3AM: Agitation in the Elderly
A 72-year-old female with a past medical history of Alzheimer’s dementia is transferred from her SNF with hallucinations and agitation. On ED arrival, she is looking around and appears to be responding to internal stimuli. She is not following commands, picking off the EKG leads, pushing the healthcare technician away from her, and anytime someone tries to start an IV or put a blood pressure cuff on her, she swings at them and has already punched EMS and one of the nurses. She is unable to be verbally redirected for IV establishment but allows you to get an EKG and opening set of vitals, which are normal. What’s your next step in evaluation and management?
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ToxCard: Arsenic Toxicity
When should you consider arsenic toxicity, and how do you treat it?
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emDOCs Podcast – Episode 148: Multiple Myeloma Part 2
We’re back with Part 2 on multiple myeloma: infectious, musculoskeletal, neurologic, cardiac, thrombotic, and endocrine issues.
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Journal Feed Weekly Wrap-Up
Journal Feed covers duration of hypothermia post ROSC, ramping for intubation, and discharging low-risk PE patients.
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ECG Pointers: STEMI Case Conference
ECG Pointers walks through a STEMI case conference with angiographies.
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EM@3AM: Aplastic Anemia
A 28-year-old female presents with fatigue, bruising, and vaginal bleeding. She reports a history of heavy menstrual cycles; however, this cycle has been significantly worse. Over the past week, she has experienced dizziness, generalized fatigue, and increased bruising. She felt warm earlier this morning but was not able to take her temperature. She denies any family history of bleeding disorders. Initial vital signs include BP 110/70, HR 120, RR 14, SpO2 100% on RA, and T 100.5F. On exam, she has diffuse petechiae and ecchymoses. Labs reveal hemoglobin 6.5, WBC 1.6, and platelet count of 40. What is the diagnosis?
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emDOCs Podcast – Episode 147: Multiple Myeloma Part 1
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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Journal Feed Weekly Wrap-Up
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
Shift Pearls returns with disposition of the ED patient with heart failure exacerbation.
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