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Mailbag

Jan Shoenberger, MD and Stuart Swadron, MD, FRCPC
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12:46
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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02:25

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EMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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Paul M. -

In regards to ordering tests that are send outs and will not come back before you discharge a patient, let me share what happened to me today. 57 yo male presents with facial and tongue swelling. This is his 4th visit to our ED for this in 3 weeks. He has been treated with steroids, benadryl, epi and pepcid at various points, and seafood had been thought to be the trigger. In searching through his recent ED notes and labs, I found my colleague had sent a C4 level at his initial visit. His C4 level was undetectable, allowing me to make the diagnosis of Acute Angioedema secondary to Acquired C1 Esterase Inhibitor Deficiency. I gave him IV C1 Esterase Inhibitor, his symptoms improved, and he was transferred to the local tertiary care center for subspecialist evaluation.

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EM:RAP 2018 October Full episode audio for MD edition 245:31 min - 230 MB - M4AEM:RAP 2018 October Canadian Edition Canadian 48:30 min - 67 MB - MP3EM:RAP 2018 October German Edition Deutsche 98:17 min - 135 MB - MP3EM:RAP 2018 October French Edition Français 31:44 min - 25 MB - MP3EM:RAP 2018 October Spanish Edition Español 89:24 min - 123 MB - MP3EMRAP_2018_10_Oct_Board Review Answers_Vol.18_10 128 KB - PDFEMRAP_2018_10_Oct_Board Review Questions_Vol.18_10 95 KB - PDFEM:RAP 2018 10 October Individual MP3 files 302 MB - ZIPEMRAP_2018_10_October_Individual PDF 855 KB - ZIPEM:RAP 2018 10 October Spanish Written Summary 812 KB - PDFEMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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6 AMA PRA Category 1 Credits™ certified by CEME (EM:RAP)

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