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Shift Pearls: Multiple Sclerosis

Shifts pearls returns with multiple sclerosis.

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    Articles

    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers ketamine versus etomidate, managing high-risk PE, and fludrocortisone plus hydrocortisone for septic shock.
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    Medical Malpractice Insights: Speaking in “Code”

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    Dr. Pilcher looks at discussing resuscitation options with patients nearing end of life
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    emDOCs Podcast – Episode 97: Spontaneous Cervical Artery Dissection

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    The emDOCs cast with Jess Pelletier and Brit Long covers the challenging diagnosis of spontaneous cervical artery dissection.
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    EM@3AM: Vaginal Bleeding

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    A 22-year-old female presents with three days of vaginal bleeding. She has soaked through multiple pads and has passed clots. She endorses some lightheadedness but no syncope. Her last period was two weeks ago. She has no known past medical history, does not use hormonal contraception, and is sexually active
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    • perspectives

    Policy Playbook: Medicaid Expansion

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    What do you need to know about Medicaid expansion?
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    ECG Pointers: Poisoned Sodium Channels

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    Why is it important to repeat the ECG?
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    Trauma Resuscitation

    Primary: CABC vs MARCH (massive hemorrhage, airway, respiration, circulation, hypothermia/head injury)

    Deadly diamond of trauma: hypocalcemia, hypothermia, coagulopathy, acidosis

    If transfusing trauma patient, don’t forget the calcium

     

    If giving TXA, consider using 2g IV bolus; frees IV line, cognitively offloads, supported by TCCC guidelines

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