EM Clerkship

See if you can figure out what’s going on with this all-over-the-place case!

What happens when the stroke patient awaiting transfer has a sudden clinical change? How do you manage it?

For more reading on today’s topic, check out:

https://www.ebmedicine.net/topics/stroke/postthrombolysis-intracranial-hemorrhage

https://www.ahajournals.org/doi/10.1161/STR.0000000000000513

https://thennt.com/nnt/thrombolytics-acute-ischemic-stroke/

https://www.ahajournals.org/do/10.1161/blog.20171227.203035

We all know patients boarding for admission or transfer are the new norm in emergency rooms nationwide. What happens when a patient pending transfer decompensates?

To learn more on today’s topic:

https://www.emrap.org/corependium/chapter/recgSYYhIe7uv1r8x/Pediatric-DKA#h.mhab9ovl1fy9

https://www.chop.edu/clinical-pathway/diabetes-type1-with-dka-clinical-pathway

https://emergencymedicinecases.com/wp-content/uploads/filebase/pdf/Episode%20063%20Apr2015%20Pediatric%20DKA.pdf

https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes#Cerebral-Edema

Uptodate articles – “Hypokalemia in Children,” “Diabetic ketoacidosis in children: Cerebral injury (cerebral edema),”Diabetic ketoacidosis in children: Treatment and complications”

Gotta be gastroenteritis right? Tune in to find out!

Let’s talk teeth!

For more learning, check out these resources:

https://www.ncbi.nlm.nih.gov/books/NBK570590/

https://emergencymedicinecases.com/traumatic-dental-emergencies/

https://coreem.net/core/dental-trauma/

https://www.nuemblog.com/blog/oral-nerve-blocks

Crotalinae, elapidae, hymenoptera and more!

Check out these additional resources for all things bites and stings!

EB Medicine North American Snake Envenomations

ALiEM Envenomations

EMRAP Corependium Snake Bites and Insect/Arthropod Stings

Links available on emclerkship.com