What is the evidence behind ESR and CRP in the ED?

Journal Feed covers shoulder reduction techniques, TNK vs tPA for stroke, and subcutaneous insulin for DKA.

Agitated should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. This podcast episode is all about age-appropriate non pharmacologic management strategies for agitated children. It is also episode 2 in a 5 episode series focused on agitation in children and adolescents.

This week we cover the ESETT trial which compares levetiracetam, fosphenytoin, and valproate for treatment of status epilepticus. 

Chuck Pilcher covers a case of failed communication of an incidental mediastinal mass.

Today on the emDOCs cast we cover Part 2 in a series on complications of CAR T-cell therapy, specifically immune effector cell-associated neurotoxicity syndrome (ICANS), infusion reactions, cytopenias, graft versus host disease, and cardiac toxicity in Episode 78.

This post looks at the Neurocritical Care Society guideline updates for the management of aneurysmal subarachnoid hemorrhage, including blood pressure management, antifibrinolytics, calcium channel blockers, fluids, and more.

Most children who present to Pediatric Emergency Departments these days with metal health concerns – including agitation – have a known psychiatric problem or diagnosis. Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. Why then do we persist with the “is it medical/organic or psych” question?