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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics.

Myelogram 103
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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

CVC vs PIV The critically ill patient is often associated with pathology that makes IV access difficult such as shock state, hypovolemia, obesity, IV drug abuse, end-stage renal disease, cardiac arrest, as well as other conditions. Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals.

Hospital 104
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AuntMinnie 2007: Gadolinium: A 'necessary factor' in the development of NSF?

AuntMinnie

Imagine going in for a diagnostic MRI scan and coming out with a progressive, irreversible, and potentially fatal disease. It certainly doesn't help matters that the disease has been linked to gadolinium-based contrast agents, a ubiquitous tool in the MR armamentarium. In 2006 the U.S. report of NSF in 33 dialysis patients at a St.

Disease 116
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Pediatric UTIs: Short-Course vs. Standard-Course Antibiotics — Is It Time for a Change?

REBEL EM

Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. What They Did: Study Design: Multicenter, randomized, double-blind, placebo-controlled, non inferiority clinical trial. Investigators assessed clinical outcomes via 2 in-person visits on days 11–14 and days 24–30. JAMA Pediatr.

IT 80
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Journal Scan – This Month in Other Journals, May 2023

AJNR

Main reasons for DAWN ineligibility were the absence of clinical-imaging-mismatch, low baseline NIHSS score (ie, <10 points), and premorbid functional disability (ie, mRS score >1 point). 14432 RCVS is a cerebrovascular phenomenon that presents clinically as recurrent TCHs predominantly affecting females. 2 figures, 4 tables 2.