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ToxCard: Diphenhydramine Toxicity

The ToxCard series returns with diphenhydramine toxicity.

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    Articles

    • practice updates

    Capnography in the ED

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    Continuous quantitative waveform capnography, also known as end-tidal carbon dioxide, PetCO2, or ETCO2, is a measurement of the partial pressure of CO2 in the exhaled breath. This technology has been around since the mid-19th century and only relatively recently has its potential in emergency medicine begun to be explored. [...]
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    • practice updates

    Pediatric Sepsis Update

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    Sepsis is the most common cause of death in children worldwide. What is the optimal evaluation and management of pediatric sepsis?
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    • Ask Me Anything

    Ask Me Anything – Kevin Klauer, DO, EJD, FACEP

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    We're excited to announce our next AMA: Kevin Klauer will be with us TODAY: Tuesday, September 2nd, from 2-4pm CST.

    Some background on Dr. Klauer from his bio page on emp.com:

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    • practice updates

    A #FOAMed Roadmap to Permissive Hypotension

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    Included below is a summary of numerous blog posts and podcasts that discuss the sometimes controversial issue of permissive hypotension or minimum volume resuscitation in the bleeding trauma patient.

    The Basics

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    • practice updates

    End Tidal CO2 in TBI

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    Does End Tidal CO2 correlate with PaCO2 in Traumatic Brain Injury? Your neurosurgeons and trauma team have accepted a transfer to your hospital for intensive management of a trauma patient who presented to a small community hospital with a traumatic subarachnoid hemorrhage and epidural hematoma after being involved in a
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    • intern report

    Rib Fractures in the Elderly

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    Why is it important to aggressively and appropriately manage rib fractures in elderly trauma patients? Recently, an 82 year-old male suffered a fall from standing, striking his left posterior flank against a cinder block, sustaining fractures of the left 7th-11th ribs with displacement of the 8th-11th ribs, causing a moderate
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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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