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emDOCs Podcast – Episode 140: Stercoral Colitis

We're covering stercoral colitis today. What is it, how do you diagnose and manage it, and who can you send home?

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    Articles

    Left Bundle Branch Block in Myocardial Infarction: An Update

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    Editor's note: This article was listed in the LITFL Review 154's "Best of #FOAMed" section.

    The left bundle branch arises from the Bundle of His, and subsequently is divided into the anterior and posterior fascicles. The anterior fascicle is usually supplied by septal perforators from the Left Anterior

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    • practice updates

    Ventilator Management in COPD

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    Editor's note: This post was listed in the #FOAMED Review (17th Ed.) from EM Curious. It ALSO appeared in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

    Its 7:01am. Your shift in your department’s high acuity area is just beginning, and you are waiting to

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    • practice updates

    Platelets and ddAVP in the Management of Intracranial Hemorrhage

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    Evidence-based guidelines and information for the management of intracranial hemorrhage in patients taking anti-platelet agents
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    • practice updates

    Outpatient PE treatment

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    Editor's note: This post was listed in the LITFL Review 153's "Best of #FOAMed" category. Venous thromboembolism (VTE) (deep vein thrombosis or pulmonary embolism) has an incidence of roughly 1 in 1,000 with an incidence of PE with or without DVT of 2.3 per 10,000. One major factor to
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    Ultrasound for Pediatric Skull Fractures

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    Diagnose important traumatic injuries quickly, avoid unnecessary ionizing radiation in kids, and do so with an extremely easy ultrasound application to learn. Moreover, skull fracture found to be more predictive than scalp swelling or vomiting for traumatic brain injury, increasing likelihood by 4-fold to 20-fold.
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    • practice updates

    Intern Report Collection

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    Our ongoing intern report series is the product of first-year EM residents at UT Southwestern exploring clinical questions they have found to be particularly intriguing. For med students & junior residents - if you haven't encountered these issues yet, you will!
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    SVT Treatment Options

    If unstable -> cardioversion; may attempt modified Valsalva while prepping for cardioversion

     

    Stable -> modified Valsalva while prepping meds: adenosine, CCB, or BB

     

    CCB has similar efficacy and fewer side effects compared to adenosine

     

    If using adenosine, go with 12 mg; tell patient about expected symptoms (and that means it’s working!)

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