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Journal Feed covers prehospital whole blood, crying infants, and sodium bicarbonate for in-hospital cardiac arrest.

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Editor's note: This article was listed in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

Using thromboelastography in goal-oriented algorithms, clinicians may be able to optimize targeted transfusion therapies with specific coagulation factor(s) instead of empirically administering multiple components with potentially hazardous effects.

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Editor's note: This post was listed in both the #FOAMED Review from EM Curious AND in the LITFL Review 154 "Best of #FOAMed" section.

As an EM physician, it is difficult to have working knowledge of the hundreds of different types of rashes that exist. However,

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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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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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