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Shift Pearls: Spinal Epidural Abscess

Shift pearls returns with spinal epidural abscess.

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    Articles

    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers shoulder reduction techniques, TNK vs tPA for stroke, and subcutaneous insulin for DKA.
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    • PEM Currents

    PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

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    Agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. This podcast episode is all about age-appropriate non pharmacologic management strategies for agitated children. It is also episode 2 in a 5 episode
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    52 in 52 – #36: Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

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    This week we cover the ESETT trial which compares levetiracetam, fosphenytoin, and valproate for treatment of status epilepticus.
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    Medical Malpractice Insights: Failed communication of incidental mediastinal mass

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    Chuck Pilcher covers a case of failed communication of an incidental mediastinal mass.
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    emDOCs Podcast – Episode 78: CAR T-cell Therapy, ICANS, and other complications

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    Today on the emDOCs cast we cover Part 2 in a series on complications of CAR T-cell therapy, specifically immune effector cell-associated neurotoxicity syndrome (ICANS), infusion reactions, cytopenias, graft versus host disease, and cardiac toxicity in Episode 78.
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    Neurocritical Care Society Aneurysmal SAH Guidelines

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    This post looks at the Neurocritical Care Society guideline updates for the management of aneurysmal subarachnoid hemorrhage, including blood pressure management, antifibrinolytics, calcium channel blockers, fluids, and more.
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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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