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Journal Feed covers biomarkers for TBI, prehospital whole blood for trauma, and issues with gabapentin.

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Journal Feed brings you nerve blocks and peds nurse US.
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The EM Thinker returns with 10 pearls.
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How can you manage conflict in the ED?
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Spinal Epidural Abscess

Risk factors: recurrent vascular access, immunocompromise, spinal instrumentation; don’t forget diabetes and ESRD

Triad (fever + back pain + neuro deficit) not reliable

 

Evaluation: incorporate risk factors and exam (fever, neurologic deficit)

 

Imaging: MRI whole spine with and without contrast; 15% have skip lesions

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