Archive

Medical Category: Abdominal and Gastroinstestinal

Acute Pancreatitis

Acute Pancreatitis Background: Definition: Acute inflammatory process of the pancreas; a retroperitoneal organ with endocrine and exocrine function. Epidimiology (Rosen’s 2018) US Incidence: 5 – 40/100,000 Mortality: 4-7% Progression to severe disease: 10-15% of cases (mortality in this subset 20-50%) ...

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Abdominal and Gastroinstestinal

Episode 36 – Resuscitate Before You Endoscopate?

Background: Upper gastrointestinal hemorrhage (UGIH) is a commonly seen complaint in the ED.  Currently, endoscopy is the standard therapy shown to not only help with diagnosis, but also risk stratify patients and potentially offer effective hemostatic treatment of acute nonvariceal ...

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Abdominal and GastroinstestinalResuscitation

The Good, The Bad, and The Ugly of Proton Pump Inhibitors in UGIB

Upper gastrointestinal bleeding remains a common reason for emergency department visits and is a major cause of morbidity, mortality, and medical care costs. Often when these patients arrive, the classic IV-O2-Monitor is initiated and hemodynamic stability is assessed. One of the ...

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Abdominal and Gastroinstestinal

Question Tradition: Glucagon for Food Boluses

Background: How many of you have had this scenario…patient comes into ED, just ate a big steak and now they can’t swallow.  You call gastroenterology, who asks… “Did you try glucagon yet?” OK, well maybe not exactly like that, but ...

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Abdominal and Gastroinstestinal

American College of Emergency Physicians (ACEP) Conference 2016

This years ACEP 2016 conference took place in Las Vegas, NV from Oct 16th – 19th.  There was greater than 350 courses, labs, and workshops given throughout the week.  It was impossible to make all of these great lectures, but ...

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Abdominal and GastroinstestinalCardiovascularNeurologyProcedures and SkillsResuscitationTrauma

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