An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose.
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Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose
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Updates in STI Care
Updates in STI care for the EM physician (based on the 2021 CDC guidelines).
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Stercoral Colitis
An overview of this must not miss complication of constipation in the ED.
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Journal Review
Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma
Prehospital trauma team activation criteria allow for prompt mobilization of personnel and resources. Prehospital hypotension is one of those criteria. Pulse pressure is the difference between systolic and diastolic blood pressure. This is variously defined as a difference of 30-40 mmHg. A narrow pulse pressure occurs due to compensatory increased systemic vascular resistance in the setting of decreased cardiac output.
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Malignant Catatonia
A brief overview of this often missed but critical psychiatric emergency.
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Journal Review
Validation of Septic Knee Monoarthritis Prediction Rule in a Lyme Disease Endemic Area
Children with knee monoarthritis from Lyme disease and septic arthritis can have similar presentations. The early disseminated stage of Lyme disease, when knee monoarthritis would typically present, occurs 3-5 weeks post tick bite and a history of tick bite may not be present. In addition, synovial fluid cell counts do not distinguish between septic and Lyme arthritis and bacterial cultures and Lyme disease serology may take several days to result.
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Toxic Gas Exposure
A quick overview of toxic gas exposure for the EM physician: simple asphyxiants, chemical asphyxiants, and caustics.
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