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We see that, like in adults, an elevated lactate can help identify those patients who are potentially sicker than others, although not perfectly. It is only helpful if it alerts you to severe illness presenting subtly or helps direct your resuscitation efforts… which, again, require the astute clinician to determine.
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- clinical cases, FOAMED
- Dina Al-Joburi
- 5 Comments
A review of how to resuscitate a pregnant patient in the midst of medical catastrophe and how to rapidly estimate gestational age
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- practice updates
- Geoff Jara-Almonte
- No Comments
While on shift at a busy urban emergency department, you are notified by EMS dispatch of an ambulance en-route with a patient involved in a high-speed MVC. They report she is a female, in her 20s or 30s, who is obviously gravid, but of unknown gestational age. According to EMS
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Sepsis Sources: LUCCAASSB
Lung* (pneumonia, effusion, abscess)
Urine* (UTI, pyelonephritis)
Cardiac (endocarditis)
CNS (meningitis, encephalitis, abscess)
Abdomen (intra-abdominal)
Arthritis (septic)
Skin (cellulitis, abscess, NSTI)
Spine (osteomyelitis, SEA, discitis)
Bacteremia
*most common sources
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Podcasts
- By: Brit Long
- Date: April 13, 2026
emDOCs Podcast – Episode 138: EBM Acute Appendicitis in Adults Part 1
- 12 min read
- 0 comment
The emDOCs Podcast covers EBM Updates in the adult patient with appendicitis, specifically history and exam, lab testing, and diagnostic scoring systems.
- By: Brit Long
- Date: March 17, 2026
emDOCs Podcast – Episode 137: Acute Mastoiditis
- 14 min read
- 0 comment
We cover acute mastoiditis in today\'s podcast.
- By: Brit Long
- Date: March 2, 2026
emDOCs Podcast – Episode 136: Ectopic Pregnancy Myths Part 2
- 11 min read
- 0 comment
We're back with myths and misconceptions in ectopic pregnancy testing, focusing on urine and serum β-hCG and ultrasound.
- By: Brit Long
- Date: February 17, 2026
emDOCs Podcast – Episode 135: Ectopic Pregnancy Myths Part 1
- 11 min read
- 0 comment
This podcast evaluates myths and misconceptions in ectopic pregnancy, focusing on risk factors, history, and exam.