Category Archives: 1Beginner

Erasing Death

By Sabrina Schmitz, MD “Erasing Death” Explores the Science of Resuscitation (NPR—Feb 20, 2013) SUMMARY:   This is an NPR interview of Dr. Sam Parnia, Director of Resuscitation Medicine at Stony Brook, in which he discusses ideas presented in his … Continue reading

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Pseudoseizures AKA PNES

By Christie Lech, MD Please refer to EMRAP PNES – psychogenic nonepileptic seizures Pseudoseizure – non-epileptic seizure PNES is characterized by neurological disturbances i.e. motor, sensory, autonomic, cognitive, emotional that may mimic epilepsy, but there is no CNS dysfunction Incidence … Continue reading

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Pediatric Fever

By Jeremy Faust, MD ERcast with Dr. Rob Orman and guest PEM specialist Dr. Andrew Sloas Pediatric Fever Part 2. Link: Question: Does height of fever increase risk that you’re dealing with Serious Bacterial Infection? Answer: Old studies (poorly controlled, … Continue reading

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Pseudoaxiom – epinephrine in the digits

By Will Fleischman, MD Please refer to SMARTEM Axiom – noun – A statement or proposition that is regarded as being established, accepted, or self-evidently true. Pseudoaxiom – A false axiom passed down as anecdote, tradition, or simple repetition from … Continue reading

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Sick Baby: Undifferentiated infant under 3 months

By Eduardo LaCalle, MD Please refer to EMPEM According to the podcasters, 10% of neonates with fever will have a serious bacterial infection (SBI), so full workups indicated in all these patients Important physiologic considerations include changes in circulatory system … Continue reading

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Intussusception

By Eduardo LaCalle, MD Please refer to EMPEM Epidemiology: Incidence (in UK) 1.6 – 4/1000 children Seen more commonly in boys, especially with increasing age Represents about 25% of emergent abdominal surgeries in children < 5 years   Pathophys: Generally … Continue reading

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Hyperglycemia

By Christie Lech, MD Please refer to EMRAP DKA can occur in type I and type II diabetics. A hyperglycemic patient that is not ketotic, not in DKA, is a patient that we DO NOT need to treat for an … Continue reading

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Cellulitis and MRSA

By Christie Lech, MD Please refer to EMRAP Cellulitis, without the presence of an abscess, it is a disease usually caused by Strep species. Moran treats cellulitis as MRSA if there is the presence of folliculitis and/or if he is … Continue reading

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The Utility of Adding Expiratory or Decubitus Chest Radiographs to the Radiographic Evaluation of Suspected Pediatric Airway Foreign Bodies

Please refer to Annals of Emergency Medicine. Vol. 61. No 1. PP 19-26. Jan 2013. Brown et al. By Brandy Ferguson, MD Study Objective: To compare standard chest radiographs (lateral or PA or AP) with and without additional views (expiratory … Continue reading

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Lessons from the STOP Sepsis Collaborative

By Avital Porat, MD Please refer to EMCrit Take home lessons after ~ 10,000 patients enrolled in STOP Sepsis Collaborative   Recognition/Screening- Let nurse’s handle this. They are doing a good job. Modified version of SIRS criteria screened at triage … Continue reading

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