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Emergency Care Updates

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@emergencymedke 14 patients on vents and 15 on O2 (not sure why that needs ICU level) out of 7500. That would be reassuringly low % if it wasn’t for the reports of no ICU beds remaining in Nairobi 😢

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An Very Elderly Male with Epigastric pain, "ischemic ECG" and Interesting Imaging.

https://hqmeded-ecg.blogspot.com/2020/07/an-very-elderly-male-with-epigastric.html

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The Recovery Trial: Effect of Dexamethasone in Hospitalized Patients with COVID-19 – Preliminary Report

The findings of this well done randomized controlled trial indicate that in patients with COVID-19 pneumonia, that dexamethasone improves 28d mortality compared to placebo in patients requiring invasive mechanical ventilation (IMV) (NNT = 8.5) and those patients requiring oxygen therapy (NNT = 29).  There was no benefit to patients not requiring oxygenation support and even a signal for harm.  It is important to remember this is a preprint, preliminary report, which is better than a press release. At this time, in patients requiring any oxygen therapy, HFNC, NIV, IMV, or ECMO I would recommend dexamethasone until further evidence disproves this benefit.

COVID-19 Rx: Treatment Simulations

You are a health care provider in a developed country. Several patients await your care. These patients are suspected of having COVID-19 and have been triaged by severity of illness. We recommend starting with the mildly ill patient, but you are free to see them in any order.

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Emergency Medicine

Emergency medicine is a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of episodic undifferentiated physical and behavioural disorders (IFEM) - WATCH VIDEO

Emergency Topics

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