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Atrioventricular Nodal Reentrant Tachycardia

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AVNRT is a frequently encountered tachydsyrhythmia in the ED with multiple management options.
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Journal Review

Isolated Scalp Hematoma in Peds Minor Head Trauma

Filed Under: Tags: , October 29th, 2015 Leave a Comment

There are more than 450,000 Emergency Department presentations each year for children with blunt head trauma. 25% of visits for blunt head trauma are in children less than 24 months of age. Scalp hematomas in this age group maybe the only sign of traumatic brain injury (TBI). An astute clinician must clinically assess those with possible TBI,
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Approach to Traumatic Shoulder Pain

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This post reviews the basic approach to assessment of the traumatic shoulder injury. Subsequent posts will focus in on specific pathologies.
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SMACC Dublin Registration Opens This Week!

Resident Updates Tags: , Anand Swaminathan, MD Leave a Comment

The Social Media and Critical Care (SMACC) Conference is entering it’s 4th year and will be in Dublin from June 13th – 16th, 2016. That’s right, the conference is returning to the land of Guiness and Mike Cadogan – one of the fathers of the FOAM movement. This conference offers the rare opportunity to unite a number of fields in medicine (EM,
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Journal Review

H. pylori Testing in the ED

Filed Under: Tags: , , October 22nd, 2015 Leave a Comment

Abdominal pain is the most frequent presenting symptom in US emergency departments. The current standard care in the ED for upper abdominal pain involves ruling out severe causes (i.e. biliary disease, perforated viscous etc) and consideration of empiric gastric disease treatment with histamine blockers, antacids, or proton-pump inhibitors.

H. pylori is a bacterium that infects the stomach causing dyspepsia.  
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Ventricular Tachycardia

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Ventricular tachycardia is a potentially lethal dysrhythmia. Expert management is a critical skill for Emergency Physicians.
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Journal Review

Dopamine vs. Epinephrine in Pediatric Septic Shock

Filed Under: Tags: , , October 15th, 2015 5 Comments

Background: Patients with fluid refractory septic shock should be treated with vasoactive medications to improve perfusion. It has become widely accepted in recent years to use norepinephrine as the first-line vasopressor in adults with septic shock. In children, however, there is little research to guide our choice of agent. Dopamine has been used as the first-line agent in children though it has fallen out of favor in adults.
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Pharmacology of Insulins

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Insulins are commonly administered in the ED and a comprehensive understanding of their pharmacodynamics is vital.
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