This posts discusses the identification and management of the pediatric septic hip as well as differentiation from toxic synovitis.
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Pediatric Septic Hip
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MDCalc App Launches for Android
EBM is under attack. The Trump administration has signaled it will de-regulate the FDA, lowering the current threshold of safety & efficacy. This may bring us closer to the pharmaceutical disasters of the past: the children of Thalidomide, snake oil salesmen selling heal-all elixirs, Bayer’s invention & marketing of Heroin as a non-addictive cough suppressant,
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Journal Review
Observation Units Reduce Admissions and Discharges Home
Observation units (OUs) are a hot topic in Emergency Medicine (EM) today. They are expanding their presence among hospitals, and their footprint within hospitals, every day (Feng 2013). The reason for this is multifactorial, but is almost always a response to cost and policy challenges. First, OUs present reductions in cost for hospitals, as they are cheaper than full inpatient stays and often include shorter length of stays.
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Core
Finger Injuries
This week’s post focuses on common soft-tissue finger injuries with a focus on diagnosis and management.
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Journal Review
Acute Kidney Injury is not Associated with IV Contrast Use in the ED
Intravenous (IV) iodinated contrast media is used routinely to improve the accuracy of computed tomography (CT) in the emergency department (ED). Prior studies have linked contrast media with the development of acute kidney injury (AKI) and has been linked to increased risk of major adverse events including the initiation of dialysis, renal failure, stroke, myocardial infarction and death.
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Core
Common Forearm Nerve Blocks
This post contains all the info you need to perform forearm nerve blocks. Thanks to Jacob Avila for sharing his amazing teaching videos.
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Dear Intern . . .
Dear Sanjay,
Hope you’re doing well. You’ve probably just settled into your first adult-sized Manhattan apartment. It may take a while, but you’ll eventually manage to find your stethoscope – it’s been gathering quite a bit of dust since Match Day. Your scrubs are free of bodily fluids – at least for now.
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Journal Review
Validation of qSOFA for Mortality Prediction in the ED
In 2016 the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), redefined sepsis as life-threatening organ dysfunction caused by a dysregulated host response to infection. This group postulated that sepsis can be identified through an increase in Sequential Organ Failure Assessment (SOFA) score of at least 2 points. The quick SOFA (qSOFA) score is a simplified tool that includes respiratory rate >21 breaths/min,
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