Critically Appraised Topic: Can Bedside US Accurately Diagnose Skull Fractures in Children Under 4 Years of Age?
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Dr. Kovalsky discusses the use of POCUS in the diagnosis & evaluation of pediatric skull fractures.
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Thursday
#EMConf: Acid-Base
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A 31-year-old female with a history of Type 1 Diabetes presents via EMS after being found unresponsive by family. You assess the patient and are concerned about DKA. Let's interpret her acid-base status.
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EKG Conference
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45 year old female presents with 3 days of cough, congestion and chest discomfort.
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Critically Appraised Topic: Operative vs. Non-operative Management of Humeral Shaft Fractures
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Does surgical repair with internal fixation, as compared to nonoperative management with splinting/bracing, improve functional outcomes in patients with isolated closed humeral shaft fractures?
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#EMConf: Do Corticosteroids Decrease Duration of Mechanical Ventilation in ARDS?
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Dr. Sewatsky discusses the DEXA-ARDS study.
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#EMConf: What is the Role of TXA in a GI Bleed?
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There has been very compelling literature suggesting TXA could be useful in the setting of an acute bleed.
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#EMConf: Bicarbonate & Cardiac Arrest
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Does giving bicarbonate during cardiac arrest increase return of spontaneous circulation (ROSC) and good neurological function upon discharge?
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#EMConf: Methemoglobinemia
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Dr. Murphy discusses Methemoglobinemia.
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#EMConf: Cyanide Toxicity
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Dr. Murphy discussed cyanide toxicity
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Hypercalcemic crisis
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A 52-year-old woman with a history of hypertension sustained a large left frontoparietal intracerebral hemorrhage resulting in right-sided flaccid paralysis complicated by acute respiratory failure status post tracheostomy for prolonged mechanical ventilation. She is transferred to the step-down intensive care unit for ventilator weaning. Serum calcium level returns elevated at 11.3 mg/dL with a serum albumin level of 2.8 g/dL. What is the most likely cause of her hypercalcemia and how should it be managed?
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