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Acute Pancreatitis (including hypertriglyceridemic

WEBdiagnostic criteria for acute pancreatitis. At least two of the following are required: (1) Elevation of lipase >3 times upper limit normal (i.e., >~750 U/L). (2) Clinical …

Actived: 7 days ago

URL: https://emcrit.org/ibcc/pancreatitis/

Metabolic alkalosis

WEBMetabolic alkalosis may be diagnosed in two situations ( red arrows above): (1) If the serum bicarbonate is elevated (>28 mM), this alone reveals a metabolic …

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PulmCrit- WHO guidelines regarding fluid administration for

WEBWorld Health Organization (WHO) guidelines regarding fluid administration in coronavirus. Portions of the current WHO guidelines regarding fluid management are …

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Severe community-acquired pneumonia

WEBdefinition of community acquired pneumonia (CAP) Community-acquired pneumonia refers to a pneumonia which begins when the patient is outside the hospital, …

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EMCrit 25 – End of Life and Palliative Care in the ED

WEBEMCrit 25 – End of Life and Palliative Care in the ED. April 24, 2010 by Scott Weingart, MD FCCM 4 Comments. Aggressive palliative care is just as important as …

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PulmCrit: Validation of test-dose strategy for beta-lactam allergies

WEBThis is a retrospective, multi-center cohort study describing 1,046 test doses administered at five hospitals for management of patients with possible beta-lactam …

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Cardiac glycoside poisoning (including digoxin)

WEBmechanism of action of digoxin. (1) Digoxin inhibits the cardiac Na/K antiporter (orange oval, above). This causes an increase in intracellular sodium and a …

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EMCrit Wee – Sleep Part 1

WEBMike Stone, MD. Mike Mallin, MD. Dr. Mike Mallin is the co-founder and chief science officer at Wild Health, and he is responsible for concepting and building their …

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Clinical Practice Guidelines for the Management of Pain, …

WEB1 VA Palo Alto Health Care System, Palo Alto, CA, and Stanford University School of Medicine, Stanford, CA. 2 Tufts University School of Medicine, Maine Medical Center, …

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Recognizing and managing paradoxical reactions from …

WEBThe most important aspect is recognizing the PR and discontinuing the causative medication. Some early investigators felt that that PR might reflect “undersedation” …

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Acute Disseminated Intravascular Coagulation (DIC)

WEBAcute DIC results from an acute trigger of coagulation (e.g., sepsis or trauma). This leads to abrupt and exuberant depletion of coagulation factors, leading to …

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Community acquired urosepsis

WEBThe primary concern here would generally be enterococci, or less often staphylococcus saprophyticus. For community-acquired urosepsis Enterococcus faecalis …

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PulmCrit- Reengineering the analgesic ladder for critically ill patients

WEBThe classic World Health Organization analgesia ladder is shown above. Although we don't follow it exactly, it underlies our conceptualization of analgesia. …

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Errors of commission vs. errors of omission

WEB0. The commission-omission equation is a way to balance errors of omission vs. errors of commission, a calculation which we perform subconsciously. For patients …

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Severe influenza

WEBinfluenza pneumonia. Initial flu-like clinical syndrome occurs (e.g., fever, sore throat, cough, arthralgias, chills, headache, and sometimes diarrhea). This worsens with …

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PulmCrit- Tranexamic acid for traumatic brain injury (CRASH3)

WEBCRASH-3 design. CRASH-3 was designed to further investigate using tranexamic acid for patients with traumatic brain injury. This study utilized the following …

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Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, …

WEBUnfractionated heparin (UFH) binds to antithrombin III (AT-III), which enhances antithrombin's inhibition of several coagulation factors – especially factor Xa …

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Intravenous Nicardipine

WEBIntravenous Nicardipine: A Review 1759 Table I. Summary of pharmacodynamic effects of intravenous nicardipine Vascular/haemodynamic ↓ …

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The POCUS pulse check: A randomized controlled crossover …

WEBhas been demonstrated in non-health care professionals (HCP) and HCPs alike.4-8 The lack of certainty in identifying a pulse during resuscitation may delay chest …

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