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Journal Feed Weekly Wrap-Up

Journal Feed covers pediatric intranasal midazolam dosing, 0/1 vs. 0/3 hour troponin pathways, and a provider in triage model.

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    Articles

    Medical Malpractice Insights: Don’t over-simplify a complex case

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    This month's Medical Malpractice Insights from Dr. Pilcher evaluates a tough case where potential over-simplification was harmful. Risks factors can significantly change your evaluation and management.
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    • EM MINDSET, perspectives

    Emergency Medicine Collective Wisdom: Victoria Brazil

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    The EM Collective Wisdom series asks star emergency physicians key questions concerning their successes, failures, and impact in EM. Today we have thoughts from Dr. Victoria Brazil.
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    2018 AHA/ASA Ischemic Stroke Updates

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    With all the new stroke literature, how can you keep track of everything? Fortunately, the AHA/ASA recently published the 2018 ischemic strokes guidelines. This post provides emergency medicine-focused highlights of the updated guidelines.
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    • em@3am

    EM@3AM: Myocarditis

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    A 18-year-old male presents with chest pain and shortness of breath for several days. Approximately one week prior he was suffering from myalgia, congestion, sore throat, and fever and was diagnosed with an upper respiratory infection. Today his vitals are HR 132, RR 28, BP 92/48, T 37.8 C, and
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    CORE EM: Intrathecal Baclofen Withdrawal

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    Learn the common presentation of baclofen withdrawal in this great CORE EM post!
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    The EM Educator Series: Why does my patient keep passing out?

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    Welcome to this week’s EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed. Today...Syncope!
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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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