Tuesday

Advanced Practice: Neutropenic Fever in the ED

The cancer population is at an increased risk for morbidity and mortality from common infections due to their impaired immunity. Knowledge on how to approach the febrile neutropenic patient can have a huge impact on an otherwise horrific mortality rate in this vulnerable population.

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Advanced practice: Bariatric surgery complications

roux en y

Obesity is a problem in the United States. More and more patients are receiving bariatric surgery, resulting in a predictably higher volume of patients seeking care in the ED for complications of surgery. Read on to learn more about some of the potentially devastating complications of the most common bariatric procedure: the roux-en-y bypass.

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Advanced Practice: Use of Ultrasound for Infant Lumbar Punctures

Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.

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Advanced Practice Airway Mastery Series: Predicting Cardiac Arrest After Intubation

Intubation is a potentially dangerous procedure which may result in rapid hemodynamic collapse and cardiac arrest in the critically ill. This week we summarize the results of a large retrospective study to determine the clinical factors associated with cardiac arrest after intubation.

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Advanced Practice: Linear Probe for Indeterminate 1st Trimester Transabdominal Ultrasound

Not quite seeing that crisp yolk sac on traditional trans-abdominal ultrasound imaging with the curvilinear probe? Click ahead for a cool trick to avoid breaking out the trans-vaginal probe!

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Advanced Practice: Nebulized TXA for Hemoptysis

As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!

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