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In the Literature, practice updates

Critical Kids: PRoMPT Bolus

Pediatric emergencies are challenging. The Critical Kids series provides summaries of hot-off-the-press guidelines and evidence to support your decisions at the bedside. Today we cover the PRoMPT trial.

Articles

Medical Malpractice Insights: Speaking in “Code”

March 20, 2024
Chuck Pilcher
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Dr. Pilcher looks at discussing resuscitation options with patients nearing end of life

emDOCs Podcast – Episode 97: Spontaneous Cervical Artery Dissection

March 19, 2024
Jess Pelletier
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The emDOCs cast with Jess Pelletier and Brit Long covers the challenging diagnosis of spontaneous cervical artery dissection.

EM@3AM: Vaginal Bleeding

March 16, 2024
Juhi Varshney
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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

Policy Playbook: Medicaid Expansion

March 14, 2024
Nicholas Rizer
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What do you need to know about Medicaid expansion?

ECG Pointers: Poisoned Sodium Channels

March 13, 2024
Michael Bieszard
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Why is it important to repeat the ECG?

Cholera: ED presentation, evaluation, and management

March 11, 2024
Gaston Omba
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What do you need to know about the signs and symptoms, evaluation, and management of cholera?

Non-convulsive status epilepticus

Underdiagnosed and associated with significant morbidity/mortality

Major risk factor is convulsive status/history of seizure

Look at eyes, face, fingers, feet for subtle movements -> If present, patient seizing

Be concerned if patient remains post ictal/does not improve for significant time

Treatment: Benzos + anti-seizure meds