A Week in Review: March 6th - March 10th

Monday: Back to Basics - Lower GI Bleeds

Consider CTA to identify bleeding that exceeds 0.5cc/min

Correct Coagulopathy

Tuesday: Advanced Practice - A Cold Abscess?

Scrofula = cervical lymphadenitis due to TB

Often lacks with warmth / tenderness of a typical abscess

Diagnosis via FNA with acid fast bacilli

Wednesday: Whats the Dx?

Thursday: #emconf - Rest vs Early activity for post-concussive children?

Check out this Critical Apprasial of the Literature 

Grool, A et al. Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents. JAMA. 2016; 316(23): 2504-2514

Thomas, G et al. Benefits of Strict Rest After Acute Concussion: A Randomized Controlled Trial. Pediatrics. 2015(135); 213-223

Friday: Critical Care - Hyperosmolar Therapy for the Brain Injured Patient

Cerebral Perfusion Pressure (CPP) = MAP - ICU

No clear evidence to favor Manitol vs Hypertonic (both which work to lower ICP).