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Shift Pearls: Multiple Sclerosis

Shifts pearls returns with multiple sclerosis.

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    Articles

    EM@3AM: Malignant/Necrotizing Otitis Externa

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    A 68-year-old male with a history of poorly controlled diabetes presents to the ED with increasing right-sided ear and facial pain, swelling, and difficulty hearing for two weeks. He says the pain is worse at night and when he is chewing. Today, he noticed his right face looked swollen and
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    POCUS findings of hemodynamically unstable PE with cardiac arrest

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    How can you use POCUS for the patient in cardiac arrest from PE?
    Header - POCUS for unstable PE in cardiac arrest
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed has had a busy two weeks. Read on to find your needed updates.
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    Medical Malpractice Insights: A Tale of 2 Injection Injuries

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    Dr. Pilcher covers two cases with high-pressure injection injury.
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    PECARN STELAR Podcast – Episode 1: Anaphylaxis

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    The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research.
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    EM@3AM: Auricular Hematoma

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    A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today. The patient denies any loss of consciousness, neck pain, vomiting, or use of blood thinners. His vital signs include BP 133/82, HR
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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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