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ToxCard: Chloramphenicol Toxicity

How should you manage chloramphenicol toxicity?

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    Articles

    Hip Ultrasound and Arthrocentesis

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    "Emergency physicians with ultrasound training have been shown to be capable of visualizing effusions of the hip with a sensitivity between 80-85% and specificity between 98-100%"
    Tyler Dschaak, MD provides a brief overview of hip ultrasound in the ED, including diagnosis of effusions and arthrocentesis.
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    • practice updates

    Asymptomatic Hypertension

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    "We should only intervene under very specific circumstances"
    Asymptomatic hypertension in the ED: Should we be screening for end-organ damage? Should we intervene? Joshua Bucher, MD covers the 2013 ACEP Clinical Policy addressing these common questions.
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    • From @EMSwami

    Myths in DKA Management

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    "The bolus insulin group had longer lengths of stay and a 6-fold increase in hypoglycemic episodes"

    Anand Swaminathan, MD MPH (@EMSwami) addresses urban legends in DKA management, including VBGs vs ABGs, when to replete potassium, bicarb administration, and insulin boluses.

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    • practice updates

    Fluid Resuscitation: Isotonic Saline vs Balanced Fluids

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    "Untoward patient-centered effects had not definitively been demonstrated until recently"
    Nick Johnson, MD (@NickJohnsonMD) discusses the recent evidence comparing isotonic saline with balanced fluids for resuscitation of septic patients.
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    • Peds EM Morsels

    Delayed Diagnosis of Kawasaki Disease

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    "Set an alarm that gets your attention anytime someone presents with 'fever for 5 days'"
    Sean M. Fox, MD (@PedEMMorsels) with some excellent tips on recognizing factors putting your pediatric patients at risk for delayed diagnosis of Kawasaki Disease, including the more challenging to diagnose "incomplete" form of the disease.
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    • happenings

    #dontgetleftbehind: FOAMed and Social Media for EM Educators

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    "As one develops a skill set, FOAM becomes a more valued tool for fine-tuning your already engrained knowledge"
    Coverage of the FOAMed workshop at CORD 2014 from Adaira Landry, MD (@allarounddoc), with a primer on how to get involved in the social media and medical education movement.
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    High lateral OMI

    Elevation in I, aVL, +/- V2 with depression in inferior leads, especially III (South African Flag sign); occlusion of first diagonal branch or left circumflex artery
     
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