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Lit of the Week — Dopamine vs Norepinephrine in Treatment of Shock

Lit of the Week – 4/26/16 SOAP II: Comparison of Dopamine and Norepinephrine in the Treatment of Shock De Backer D, Biston P, Devriendt J, Madl C, Chochrad D, Aldecoa C, Brasseur A, Defrance P, Gottignies P, Vincent JL; SOAP II Investigators. Comparison of dopamine and norepinephrine in the treatment of shock. N Engl J …

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Lit of the Week: Prehospital hypoxia in TBI

Chi et al. “Prehospital Hypoxia Affects Outcome in Patients With Traumatic Brain Injury: A Prospective Multicenter Study.” J. Trauma. 2006;61:1134-1141 Clinical question / background: The goals of this study were to determine the incidence and duration of hypotension (SBP <90) and hypoxia (SpO2<92%) in the prehospital setting in patients with potentially survivable brain injuries, and …

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Weekly Report – Just Constipation?

Just Constipation?: Functional v. Organic Causes of Slow Stooling (or Defecation Delays)   Mom brings a previously healthy 11 month-old male to the Pediatric Emergency Department because the boy has not had a bowel movement for four days and seemed “fussy”. He has continued to eat, is not vomiting, having fevers, experiencing rectal bleeding, and is not …

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Image of the Week – Upper Extremity DVT

The image of the week comes to us from Drs Almebash, Liska, Sizemore, and Allen who used ultrasound to assess a patient with a history of malignancy who was found on exam to have isolated LUE Swelling.   Thanks for all of your great images this week! Happy Scanning! Sierra Beck MD