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Introduction - Flank Pain, EMA, and Medication Misadventures

Mel Herbert, MD MBBS FAAEM and Stuart Swadron, MD, FRCPC
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14:12
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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01:37

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EM:RAP 2017 October Written Summary 608 KB - PDF

Mel and Stuart highlight the addition of EMA to the program and our very own Wendy Roderweiss is a patient with a trick diagnosis with LOTS of learning pearls!!

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Ian L., Dr -

Very relevant in elderly HZoster as Prodrome is longer and more severe and treating early can ablate even the rash appearing .
Detect by seroconversion Hzoster IGM negative IGG positive to a week later Hzoster IGG positive .
We do it regularly Hsimplex prodrome .
Worth a Validated Clinical Trial?

Tony D., M.D. -

Just read your review of compressions-only CPR maybe not being effective without airway after 5-10mins.
I DISAGREE!
Here's the case: on my commuter train in NYC, just pulling out of station. Passenger (65 y.o.) goes down. I start compressions-only. We are away from platform and it takes 15mins to pull back in. Rotating with 2 other docs, we do 15 full minutes of compressions-only CPR. Medics arrive, shockable rhythm, shocked once, get ROSC. As they lifted him onto the stretcher 3-4mins later, we hear "I don't want to go to the hospital." He was fully awake and oriented! No further intervention required except AICD 2 days later. Compressions-only WORKS! Tony Dajer, MD (NY City)

Ravi S. -

The summary re the HZV case states- What is the ddx? “There is’t much there”.
Respectfully disagree. The aorta is there. Flank pain and chest pain, severe, BP elevated, left sided, ddx includes AD, AAA.

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EMA, Swadron, Herbert & Bundt Cake Goodness! Full episode audio for MD edition 280:40 min - 391 MB - M4AEM:RAP 2017 October Aussie Edition Australian 30:20 min - 42 MB - MP3EM:RAP 2017 October French Edition Français 24:50 min - 34 MB - MP3EM:RAP 2017 October German Edition Deutsche 58:35 min - 81 MB - MP3EM:RAP 2017 October Spanish Edition Español 77:32 min - 106 MB - MP3EM:RAP 2017 October Canadian Edition Canadian 29:54 min - 41 MB - MP3EM:RAP 2017 October Board Review Answers 100 KB - PDFEM:RAP 2017 October Board Review Questions 85 KB - PDFEM:RAP 2017 October Individual MP3s 172 MB - ZIPEM:RAP 2017 October Spanish Summary 1 MB - PDFEM:RAP 2017 October Written Summary 608 KB - PDF

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