Dec 2, 2024
Contributor: Alec Coston MD
Educational Pearls:
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Causes of seizures in a fairly well-appearing child with diarrhea:
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Electrolyte abnormalities: hypocalcemia, hyponatremia
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Also hyperkalemia which causes arrhythmias and syncope - can appear like seizures
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Hypoglycemia
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If the child has diarrhea and appears very...
Nov 25, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
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Induction agent selection during rapid sequence intubation involves accounting for hemodynamic stability in the post-intubation setting
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Many emergency departments use ketamine or etomidate
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A recent study sought to explore the rates of post-induction hypotension of...
Nov 18, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
Can opioids cause cardiac arrest?
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Opioids can cause respiratory suppression and the subsequent low oxygen levels can lead to arrhythmias and eventually cardiac arrest.
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In 2023, 17% of out-of-hospital cardiac arrests (OHCA) were attributable to opioids.
Given that...
Nov 15, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
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A study evaluated the patient-care impact and financial costs of holding patients in the ED, a nationwide issue
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Prospective, observational study of acute stroke management
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Conducted at a large urban, comprehensive stroke center
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The study evaluated patients...
Nov 4, 2024
Contributor: Aaron Lessen MD
Educational Pearls:
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Aortic injury occurs in 1.5-2% of patients who sustain blunt thoracic trauma
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Majority are caused by automobile collisions or motorcycle accidents
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Due to sudden deceleration mechanism accidents
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Clinical manifestations
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Signs of hypovolemic shock including...