Epiglottitis, now increasingly common amongst adults, is difficult to recognize and potentially, life-threatening.
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Epiglottitis
Journal Review
Recurrent Visits for Kids with Serious Bacterial Infections
Sepsis and meningitis are rare but feared diagnoses in children, especially when they are unable to provide any meaningful history. Based upon available evidence, it can be assumed that delayed diagnosis in a dangerous condition would lead to worse outcomes. Children under the age of one month are almost universally treated as if they are immunosuppressed for this reason,
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Core
Acute Otitis Media
Acute otitis media is the most common bacterial infection in childhood
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Journal Review
Oral Steroids for Acute Lumbar Radiculopathy
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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Core
Basic Asthma Management
Basic management of asthma exacerbations relies optimal medical management with inhaled beta agonists and systemic steroids in the ED.
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Journal Review
ESCAPE Trial – Endovascular Therapy in Ischemic CVA
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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Core
Congestive Heart Failure
CHF exacerbations are common presentations in the Emergency Department. Here we review initial evaluation, diagnostics and management.
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