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emDOCs Podcast – Episode 138: EBM Acute Appendicitis in Adults Part 1

The emDOCs Podcast covers EBM Updates in the adult patient with appendicitis, specifically history and exam, lab testing, and diagnostic scoring systems.

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    Articles

    Pain Profiles: The “Dirty D” – Hydromorphone Use in The Emergency Setting

    • 4 Comments
    Dilaudid, or Hydromorphone... How can we optimize ED use of this analgesic? This edition of Pain Profiles provides you with pearls, pitfalls, and the recent literature concerning hydromorphone.
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    Medical Malpractice Insights: Sometimes bad things just happen

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    This month's Medical Malpractice Insights evaluates a difficult case reminding us that sometimes, bad things just happen.
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    Low Risk Syncope – Pearls and Pitfalls

    • 2 Comments
    How do you evaluate the patient with syncope? Do we need a head CT? Are orthostatic vital signs useful? This post investigates what we do in the ED.
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    • In the Literature

    JournalFeed Weekly Wrap-Up

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    This week's JournalFeed Wrap-Up covers a variety of topics including cricoid pressure in pediatric intubation, time to thrombolysis in ischemic stroke, and risk of thoracotomy.
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    • PEM Playbook

    PEM Playbook – The Pediatric Surgical Abdomen

    • One Comment
    Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not. One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Morbidity and mortality varies by age and condition.
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    US Probe: TAPSE

    • 5 Comments
    An easy-to-acquire and reproducible measure of right ventricular dysfunction that correlates with outcomes in patients with pulmonary embolism... what's not to like?
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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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