This post reviews the multiple etiologies of angioedema and focuses on tailored management based on the underlying cause.
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Angioedema
Journal Review
Low-Dose tPA in Ischemic Stroke – The ENCHANTED Trial
Thanks to Salim Rezaie for providing pre-publication peer review for this post. This post is cross-posted on REBEL EM here.
Despite continued debate on the efficacy of alteplase (tPA), it currently remains one of the major interventions directed at patients presenting with acute ischemic stroke. The current standard dose of the drug is 0.9 mg/kg given over 1 hour.
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Ureteral Colic
This post delves into the diagnosis and management of patients presenting with ureteral colic.
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Thoughts to EM Graduates 2016 – Dr. Goldfrank
On Monday, June 20th, Dr. Goldfrank delivered his graduation remarks to the 22nd graduating class from the NYU/Bellevue EM Residency program. As graduation always is, it was an emotional night. Dr. Goldfrank’s words resonated deeply with all of the residents and their families. Below are his thoughts:
I learned that
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Journal Review
Optimal Oral Rehydration Solutions in Kids with Mild Dehydration
Every year in the United States there are an estimated 178.8 million episodes of acute gastroenteritis resulting in 473,832 hospitalizations. Most of the evidence surrounding oral rehydration centers around Oral Rehydration Therapy (ORT) studies in low-income countries where children suffer from more extensive gastrointestinal losses. Theoretically, electrolyte maintenance solutions are recommended in order to prevent increasing diarrheal losses through the osmotic diuresis that can occur with glucose-rich drinks like juice.
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Parenteral Benzodiazepines
This post reviews the pharmacokinetics and uses of commonly used parenteral benzodiazepines.
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The Case for Outpatient Alcohol Detoxification
Editor: Christie Lech
Background:
The prevalence of adult alcohol abuse and dependence in the United States ranges from 7% to 16% (Muncie 2013). There are an estimated 500,000 cases of alcohol withdrawal syndrome (AWS) requiring pharmacologic intervention every year (Hoffman 2015). In addition, alcoholism has a large economic burden with annual health related costs estimated to be over $220 billion (Bouchery 2006).
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Journal Review
The “Syringe Technique” for TMJ Reduction
Acute nontraumatic temporomandibular joint (TMJ) dislocations are uncommon presentations in the ED that occur after excessive mouth opening. Common circumstances include laughing, yawning and dental extraction. The most common TMJ dislocation is the anterior form and reduction can be labor intensive, protracted and typically requires procedural sedation.
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