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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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    Articles

    R.E.B.E.L. EM – Respiratory Failure and Airway Management in the Pregnant Patient

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    Respiratory failure in this vulnerable population is a stressful emergency that requires understanding of the anatomical and physiological changes of gestation as well as meticulous preparation for a difficult airway.
    Respiratory failure and airway management in the pregnant patient header
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    • Podcast

    emDOCs Podcast – Episode 29: Small Bowel Obstruction

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    Today's podcast covers some pearls for the diagnosis and management of small bowel obstruction. What's the utility of X-ray and POCUS, and what about the classic NG tube?
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    • perspectives

    Medical Malpractice Insights: Bowel perforation due to stercoral ulcer

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    Why is good documentation important? This case from Dr. Pilcher looks at a patient with a stercoral ulcer and perforation.
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    Eclampsia in the ED: Presentation, Differential Diagnosis, and Treatment

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    This post dives into the presentation and management of eclampsia. You don't want to miss it!
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    EM@3AM: IUD Complications

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    A 24-year-old female presented to the ED for pelvic pain that started 8 hours ago. The patient reports sudden onset pain that is getting progressively worse, along with vaginal bleeding. The patient has not had unprotected sex and no history of sexually transmitted infections. She appears visibly uncomfortable, is tachycardic,
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    • Ultrasound G.E.L.

    Ultrasound G.E.L. – Accuracy of 3 Point DVT Exam

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    Will it ever be good enough?
    Ultrasound G.E.L. – Accuracy of 3 Point DVT Exam Infographic
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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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