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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    • PEM Playbook, practice updates

    PEM Playbook – Altered Mental Status in Children

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    Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child, anchoring bias is your biggest enemy. Keep your mind open to the possibilities, and be ready to change it, when new information becomes
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    Inflammatory Bowel Disease in the Emergency Department

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    IBD consists of Crohn’s Disease and Ulcerative Colitis. These two diseases and their complications can have significant morbidity. This post provides pearls and pitfalls in the emergency medicine evaluation and management of these patients.
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    Ear, Nose, and Throat Foreign Bodies

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    Foreign bodies of the ear, nose and throat are commonly seen complaints in emergency department, namely the pediatric emergency department. This is a brief review of some commonly seen foreign bodies and how to remove them safely.
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    In Vitro Fertilization Patient and ED presentations: Pearls and Pitfalls

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    Assisted Reproductive Technologies (ART) allows for gamete manipulation outside the body and includes in vitro fertilization (IVF). ART is gaining in popularity. These patients are monitored closely by a gynecologist, however certain dangerous illnesses may bring these patients to the emergency department. This post will review the basics of ART
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    • practice updates

    Rheumatoid Arthritis: Management and Complications in the ED

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    Rheumatoid arthritis is a progressive systemic polyarticular inflammatory arthritis of unclear etiology. While the disease itself is not fatal, complications of the disease make it the most common rheumatic disease requiring ICU admission. This article covers the management of this disease and its complications in the ED.
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    FOAMed Resources Part VII: Medical Education and Simulation

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    All physicians are teachers. However, becoming a great teacher does not occur overnight, and in the stressful setting of the ED, it can be difficult to educate those around you. This part of the FOAMed series looks at resources geared towards education and simulation.
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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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