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Shift Pearls: Multiple Sclerosis

Shifts pearls returns with multiple sclerosis.

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    Articles

    • electrocardiography

    ECG Pointers: When should you cardiovert atrial fibrillation?

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    When should you electrically cardiovert the patient with atrial fibrillation and rapid ventricular response?
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    emDOCs Podcast – Episode 137: Acute Mastoiditis

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    We cover acute mastoiditis in today\'s podcast.
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    • em@3am

    EM@3AM: Alpha-2 Agonist Toxidromes

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    A 42-year-old male with a past medical history of substance use presents to the ED for chest pain, shortness of breath, nausea, and vomiting. He reported snorting fentanyl two days ago and has a remote history of IV drug use. Vital signs include 98.8°F, HR 150, RR 23, SpO2 98%
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    • electrocardiography

    ECG Pointers: CALS versus ACLS

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    What is Cardiac Advanced Life Support, and what does it entail?
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    • In the Literature, practice updates

    Policy Statement: NSTI Survival Guide

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    The Global Alliance for Infections in Surgery published a position statement comprised of recommendations for evaluation and management of necrotizing soft tissue infections. We summarize the key takeaways.
    NSTI Featured
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    • Podcast

    emDOCs Podcast – Episode 136: Ectopic Pregnancy Myths Part 2

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    We're back with myths and misconceptions in ectopic pregnancy testing, focusing on urine and serum β-hCG and ultrasound.
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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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