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Educational Blog - Maimonides Emergency Medicine Residency

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VOTW: Not So FAST

This week's VOTW was brought to you by Dr. Emily Cen and Dr. Akshara Ramakrishnan!

42 y/o male with PMHx of gastric perforation (s/p repair 10+ years ago) presents to the ED sent in by PMD for abdominal pain in setting of fall of 1.5 meters at construction site 4 days ago with +FAST at PMD's office. Patient states that he went to his doctor today becau...

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Principles of ED Fracture Reduction

Hello Everyone,

Today I’ll be discussing the principles of closed fracture reduction in the emergency department. At MMC Main, we are lucky enough to have a responsive orthopedic surgery team available to us- however, this may not be the case out in the community. Knowing the basic principles of fracture reduction is crucial to restoring orthopedic fu...

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Does Order of Antibiotic Administration Matter?

Hello Everyone,
Today I’ll be discussing whether the order of antibiotic administration in patients requiring multiple antibiotics matters. In patients who are critically ill with concern for bloodstream infections, two types of antibiotics are given as standard of care: 1) anti-pseudomonal / broad-spectrum beta-lactam coverage (typically cefepime or piperacillin-...

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Pediatric vs. Adult Trauma Assessment

Good Morning Everyone,

Given our new pediatric trauma protocols at MMC Main, I am providing key differences in the pediatric trauma assessment compared to adults (note: this is not a comprehensive review of pediatric ATLS). While there is significant overlap in the evaluation of adult and pediatric traumatic injuries, there are a few key differences i...

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The ACORN Trial- Cefepime vs. Piperacillin-Tazobactam

Good Evening Everyone,

Happy Monday! Today I’ll be discussing the ACORN (Antibiotic Control of Renal Outcomes) Trial. Link for full study: https://jamanetwork.com/journals/jama/fullarticle/28105...

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