Journal Feed Weekly Wrap-Up
Journal Feed brings you 4 articles covering MOUD, TNK 4.5 to 24 hours after stroke, LVO stroke predictors, and penetrating trauma support.
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FOAMed
emDOCs Podcast – Episode 130: Interstitial Lung Disease Part 2
Today we’re back with Part 2 on management of AE-ILD exacerbations.
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EM@3AM: Upper Extremity DVT
A 54-year-old woman presents with right arm swelling, heaviness, and dull discomfort. She recently underwent chemotherapy via a peripherally inserted central catheter (PICC) placed two weeks ago on her right side for newly diagnosed breast cancer. She denies fever, chest pain, or shortness of breath. On exam, her right upper extremity is visibly swollen from the mid-bicep to the shoulder with mild erythema, increased warmth, and prominent, dilated superficial veins across the upper arm and chest wall. A tender, palpable cord is noted over the medial aspect of the upper arm. Radial and ulnar pulses are intact, and there are no signs of infection or fluctuance around the PICC site.
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emDOCs Podcast – Episode 129: Interstitial Lung Disease Part 1
Today on the emDOCs cast we cover interstitial lung disease and exacerbations. In Part 1, we’ll look at background, presentation, and the ED evaluation.
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US Probe: Left Ventricular Ejection Fraction Semi-Quantitative Estimation
How can you estimate LV function using ultrasound?
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emDOCs Podcast – Episode 128: Intubation EBM Updates Part 2
We’re back with Part 2, where we’ll cover induction medications, paralytics, VL vs. DL, using the bougie, confirming ETT placement, and post intubation sedation.
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EM@3AM: Cat-Scratch Disease
A 43-year-old male presents with swelling to the right armpit. He also endorses a small wound to his right forearm, fatigue, mild muscle aches, and low-grade fever. On exam he has right axillary lymphadenopathy and a small, non-tender, slightly raised erythematous lesion to the right forearm with no overt evidence of extensive cellulitis. The patient states that he was playing with the neighborhood cat a little over a week ago. He believes the cat bit him on the arm before running off. What is the diagnosis?
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ToxCard: Medetomidine
What do you need to know about medetomidine?
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emDOCs Podcast – Episode 127: Intubation EBM Updates Part 1
Today we start a series on EBM updates for intubation. In Part 1 we cover predicting difficult BVM/intubation/cricothryotomy, physiologic factors associated with peri-intubation decompensation, preoxygenation, and apneic oxygenation.
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EM@3AM: Genitourinary Trauma
A previously healthy 32-year-old male presents to the ED via EMS following a high-speed motor vehicle collision on the interstate. The lower part of his abdomen hit the steering wheel. He reports significant pain in the perineum and groin. He has the urge to urinate but is unsure if he is able to. Vital Signs on arrival to the ED: HR 110, RR 18, blood pressure of 120/80, temperature (oral) of 99.1F, with an oxygen saturation of 99% on room air. On secondary survey, the patient has mild diffuse lower abdominal tenderness. His pelvis is stable. There is no testicular swelling or pain; however, you observe blood at the urethral meatus.
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