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    Articles

    • Peds EM Morsels

    Subtle Signs of Pediatric Heart Failure

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    "Dyspnea / tachypnea in conjunction with abdominal pain (hepatomegaly) warrants consideration of acute heart failure as much as the kid presenting in overt shock"
    Sean M. Fox, MD (from the great     pedemmorsels.com) discusses signs, symptoms, and mimics of heart failure in children.
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    • ultrasound

    RUSH ("Rapid Ultrasound for Shock") Protocol

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    "The RUSH exam provides a framework for approaching the non-traumatic patient in the emergency department presenting with undifferentiated hypotension"
    Olabiyi Akala, MD summarizes this set of ultrasound techniques that can help you rapidly determine the etiology of shock in a crashing patient.
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    • practice updates

    Cauda Equina Syndrome

    • 5 Comments
    "Recent studies have suggested that the timing of surgery may be less important for overall outcomes. Rather, outcomes may be more related to the extent of cord compression at presentation"

    Jennifer Robertson, MD, MSEd brings us an update on cauda equina syndrome, including making the diagnosis, timing of surgery, and

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    • practice updates

    An Unusual Cause of Pelvic Pain

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    Rachel Wightman, MD presents the case of a 33 year-old female with two days of pelvic and rectal pain.
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    • From @EMSwami

    Furosemide in the Treatment of Acute Pulmonary Edema

    • 56 Comments
    "The continued central role [loop diuretics] play highlights a lack of understanding of the underlying pathophysiology of the disease"

    In this excellent article, Anand Swaminathan, MD, MPH dissects the evidence to challenge common perceptions regarding the utility of furosemide in patients with APE.

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    • practice updates

    Vaginal Bleeding in the Non-Pregnant Patient

    • 4 Comments
    "PALM-COEIN separates the differential for vaginal bleeding into structural and non-structural causes"

    Jason Kan, MD covers the various causes and ED management strategies for severe vaginal bleeding in non-pregnant patients.

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