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Core EM - Emergency Medicine Podcast

Core EM - Emergency Medicine Podcast

Health & Fitness:Medicine

Episode 146.0 – Morning Report Pearls V

Episode 146.0 – Morning Report Pearls V

2018-05-21
Download Right click and do "save link as"
More pearls from our fantastic morning report series at Bellevue.
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_146_0_Final_Cut.m4a
Download Leave a Comment Tags: Endocarditis, Ludwig's Angina, Penetrating Neck Trauma
Show Notes

Take Home Points

In patients with neck pain, consider Ludwig’s angina particularly if they have any swelling, fever, truisms or respiratory difficulty. Consider early airway management and get your consultants involved early for operative management Endocarditis is a tricky diagnosis and will often be subtle. Any patient with a prosthetic valve and a fever has endocarditis until proven otherwise. Suspect it in any patient with fever and a murmur, get lots of cultures and remember that TEE is the gold standard but, TTE is highly specific Finally, penetrating neck trauma. Patients with hard signs - airway compromise, ongoing brisk bleeding, an expanding/pulsatile hematoma, neurologic compromise, shock or hematemesis should go directly to the OR and don’t probe the wounds! [caption id="attachment_7050" align="aligncenter" width="814"] Hard Signs in Penetrating Neck Injury (Sperry 2013)[/caption] [caption id="attachment_7051" align="aligncenter" width="1040"] Management Algorithm for Penetrating Neck Injury (Sperry 2013)[/caption]
view more

More Episodes

Episode 151.0 – Cauda Equina Syndrome
2018-06-25
Episode 150.0 – Journal Update
2018-06-18
Episode 149.0 – Simplified Approach to Peds Trauma
2018-06-11
Episode 148.0 – ACEP VTE Clinical Policy 2018
2018-06-04
Episode 147.0 – Salicylate Toxicity
2018-05-28
Episode 145.0 – All NYC EM 14 Pearls
2018-05-14
Episode 144.0 – Acute Rhinosinusitis
2018-05-07
Episode 143.0 – Testicular Torsion
2018-04-30
Episode 142.0 – Morning Report Pearls IV
2018-04-23
Episode 141.0 – Journal Update
2018-04-16
Episode 140.0 Disutility of Orthostatics in volume Loss
2018-04-09
Episode 139.0 – Ear Foreign Body Removal
2018-04-02
Episode 138.0 – EEMCrit Pearls
2018-03-26
Episode 137.0 – How to Build a Great Presentation
2018-03-19
Episode 136.0 HIV Related Infections in the ED
2018-03-12
Episode 135.0 – Occult Causes of Non-Response to Vasopressors
2018-03-05
Episode 134.0 – Morning Report Pearls III
2018-02-26
Episode 133.0 – Initial Trauma Assessment
2018-02-19
Episode 132.0 – Air Embolism
2018-02-12
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