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Episode 189: Hyperkalemia 2.0 – Core EM
<p>We revisit the topic of Hyperkelamia to update our prior episode from 2015 (pre-Lokelma)</p> <p>Hosts:<br /> Brian Gilberti, MD<br /> Jonathan Kobles, MD<br/><a class="read-more" href="https://coreem.net/podcast/episode-189-hyperkalemia-2-0/">Read More</a></p>
Episode 187: Septic Joint in Children – Core EM
<p>We discuss the diagnosis and management of septic arthritis in the pediatric population.</p> <p>Hosts:<br /> Brian Gilberti, MD<br /> Ellen Duncan, MD<br/><a class="read-more" href="https://coreem.net/podcast/episode-187-septic-joint-in-children/">Read More</a></p>
Core EM
<p>Diabetic ketoacidosis (DKA) is an endocrine emergency. The standard of care of treating DKA is fluid resuscitation, electrolyte management, and intravenous insulin infusion in the intensive care unit (ICU) setting for close glucose and electrolyte monitoring. Recent research aims at investigating the treatment of DKA with subcutaneous insulin in non-ICU settings. </p> <p> <br/><a class="read-more" href="https://coreem.net/journal-reviews/11255/">Read More</a></p>
Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention After Trauma – Core EM
<p>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.<br/><a class="read-more" href="https://coreem.net/journal-reviews/prehospital-narrow-pulse-pressure-predicts-need-for-resuscitative-thoracotomy-and-emergent-intervention-after-trauma/">Read More</a></p>
Podcast 185.0: Anticoagulation Reversal – Core EM
<p>How and when to reverse anticoagulation in the bleeding EM patient.</p> <p>Hosts:<br /> Joe Offenbacher, MD<br /> Audrey Bree Tse, MD<br/><a class="read-more" href="https://coreem.net/podcast/podcast-185-0-anticoagulation-reversal/">Read More</a></p>
Validation of Septic Knee Monoarthritis Prediction Rule in a Lyme Disease Endemic Area – Core EM
<p>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.<br/><a class="read-more" href="https://coreem.net/journal-reviews/validation-of-septic-knee-monoarthritis-prediction-rule-in-a-lyme-disease-endemic-area/">Read More</a></p>
D-Dimer to Rule Out Venous Thromboembolism During Pregnancy: A Systematic Review and Meta-Analysis – Core EM
<p>Pregnant women have a higher risk of venous thromboembolism (VTE) and an increasing D-Dimer over the course of pregnancy. The majority of clinical guidelines recommend the D-dimer should not be used to assess the risk of VTE in pregnant women. However, CTPE presents a radiation risk to both the mother and fetus. Unfortunately, most VTE studies exclude pregnant women.<br/><a class="read-more" href="https://coreem.net/journal-reviews/d-dimer-to-rule-out-venous-thromboembolism-during-pregnancy-a-systematic-review-and-meta-analysis/">Read More</a></p>
Updates in High dose Insulin and Euglycemia Therapy (HIET) for the treatment of Beta-adrenergic Receptor and Calcium Channel Antagonists Overdose – Core EM
<p>An update to our 2015 post on HIET for beta-adrenergic receptor and calcium channel antagonists overdose.<br/><a class="read-more" href="https://coreem.net/core/updates-in-high-dose-insulin-and-euglycemia-therapy-hiet-for-the-treatment-of-beta-adrenergic-receptor-and-calcium-channel-antagonists-overdose/">Read More</a></p>