EM:RAP

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🩺 Can you confidently use the YEARS algorithm for patients with a cancer diagnosis prior to presenting to the emergency department? Will this new data change your current practice? 🤔 Patients with cancer face a much higher than average risk of developing a venous thromboembolism (VTE), increasing pre-test probability and it is generally thought that D-dimer levels may be elevated even in the absence of VTE, making the use of YEARS and other risk stratification tools in this cohort more controversial. 🎧 Check out this FREE EMA chapter this month to hear Sanjay and Mike dissect the data from this important study. #PE #YEARS #EBM #EMA #MedEd #emergencymedicine #JAMA

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Could shifting hand placement during CPR improve blood flow? Emerging ultrasound data suggest a move to the left may optimize hemodynamics, but outcome data are still needed. #CPR #EMRAP #EM #EmergencyMedicine

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🤒An unvaccinated kid presents to the ED with a fever, now what?... There is sparse literature on this topic, but you asked us to help you with a bit of guidance, so Ilene Claudius is here this month with a few recommendations🩺👩‍⚕️ She covers the risk of bacteremia, pneumonia, measles, and RSV🦠🫁 Herd immunity is still a factor in your decision-making and understanding the number of kiddos in your community who are vaccinated will impact your next steps👥💉 One thing to be sure to do for these kids is to ask specifically which vaccines a child has received and lower your threshold to work up a bit more, keeping in mind those herd immunity numbers. 🎧 Head on over to the EM:RAP app or emrap.org to listen to the entire segment. So much great info in there. You do not want to pass it up🚨📚 #MedEd #vaccines #emergenymedicine #herdimmunity #emrap #bacterimia #vaccination #RSV #Measles #Pediatrics #peds