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Traumatic Brain Injury (TBI)
Overview Definition Traumatic brain injury (TBI) is a nondegenerative, noncongenital insult to the brain from an external mechanical...
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Pediatric Advanced Life Support (PALS): Asystole/Pulseless Electrical Activity (PEA)
PALS: Pediatric Arrest 1. The initial evaluation is as follows: [1, 2, 3, 4] Activate emergency response system. Initiate pediatric basic...
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Best Practices in the Management of Vasodilatory Shock: A Call for Collaboration
Sepsis and Septic Shock: Medical Emergencies! Consider steroids when/if a second vasopressor is required Emergency departments (EDs) try...
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Cyanide Toxicity
Practice Essentials Cyanide toxicity is generally considered to be a rare form of poisoning. However, cyanide exposure occurs relatively...
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Pregnancy Trauma
Background The pregnant trauma patient presents a unique challenge because care must be provided for two patients—the mother and the...
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Supraventricular Tachycardia in Pediatric Patient With Wolff-Parkinson-White Syndrome
This ECG was obtained from a 13-year-old boy who had previously been in NSR. At that time, he was diagnosed with Wolff-Parkinson-White...
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ECG Basics: Third-degree AV Block, Complete Heart Block
This rhythm strip shows third-degree AV block, also called complete heart block or complete AV block. The P waves are from the sinus...
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Acute Respiratory Distress Syndrome
Background Since World War I, it has been recognized that some patients with nonthoracic injuries, severe pancreatitis, massive...
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Spontaneous Ankle Pain After a Course of Antibiotics
A 62-year-old man presents with pain in the back of his right ankle. He was walking to the shops when he suddenly heard a loud ‘snap’. He...
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Los lesionados medulares serán derivados a Vall d’Hebron
Un protocolo establece que ante un paciente con daño medular pero sin riesgo vital, el SEM ha de priorizar su traslado al hospital...