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Acute Otitis Media

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Acute otitis media is the most common bacterial infection in childhood
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Journal Review

Oral Steroids for Acute Lumbar Radiculopathy

Filed Under: Tags: , , August 13th, 2015 Leave a Comment

Acute lumbar radiculopathy is characterized by radiating buttock and leg pain in a lumbar nerve root distribution caused by herniation of the nucleus pulposus.  It has a lifetime prevalance greater than 10% and can result in significant pain and disability.  Epidural steroid injections and lumbar diskectomy are commonly performed, however oral steroids may provide the same anti-inflammatory benefits are less invasive,
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Basic Asthma Management

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Basic management of asthma exacerbations relies optimal medical management with inhaled beta agonists and systemic steroids in the ED.
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Cases

August 2015

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Right wrist pain
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Journal Review

ESCAPE Trial – Endovascular Therapy in Ischemic CVA

Filed Under: Tags: , August 6th, 2015 Leave a Comment

Over the past decade, endovascular therapy has been increasingly studied as a potential intervention for ischemic stroke. However, prior randomized trials of endovascular therapy in ischemic stroke failed to demonstrate clinical benefit. The prevailing thought from those studies was that patients most likely to benefit from endovascular therapy were not carefully selected. Specifically, patients did not receive rapid imaging to demonstrate a proximal occlusion and to rule out a large area of infarction prior to inclusion in those studies.
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Congestive Heart Failure

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CHF exacerbations are common presentations in the Emergency Department. Here we review initial evaluation, diagnostics and management.
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Journal Review

Diltiazem vs. Metoprolol for Rate Control in Atrial Fibrillation

Filed Under: Tags: , , , July 30th, 2015 Leave a Comment

Atrial fibrillation (AF) is a commonly encountered dysrhythmia in the Emergency Department (ED). Atrial flutter is less common but its management is very similar to that of AF. In patients with chronic AF or unknown time of onset and a rapid ventricular response (RVR), rate control and consideration and initiation of anticoagulation therapy are the standard ED approach.
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Hyperkalemia

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Hyperkalemia is a frequently encountered and potentially life-threatening electrolyte abnormality. Expert management is essential.
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