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	<title>Emergency Medicine</title>
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		<title>Emergency Medicine</title>
		<link>http://emergencymed.wordpress.com</link>
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		<title>Acute Pain Management and Conscious Sedation</title>
		<link>http://emergencymed.wordpress.com/2009/04/04/acute-pain-management-and-conscious-sedation/</link>
		<comments>http://emergencymed.wordpress.com/2009/04/04/acute-pain-management-and-conscious-sedation/#comments</comments>
		<pubDate>Sun, 05 Apr 2009 05:23:01 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Analgesia Anesthesia and Sedation]]></category>
		<category><![CDATA[Analgesia]]></category>
		<category><![CDATA[sedation]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=23</guid>
		<description><![CDATA[The underutilization of sedation and analgesia in the emergency department has been well documented. Reasons for this include misunderstanding of a patient&#8217;s response to pain, lack of knowledge of the pharmacokinetics of the various agents used, fear of serious side effects, and issues related to convenience. Patients at risk for receiving suboptimal treatment include children, [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=23&subd=emergencymed&ref=&feed=1" />]]></description>
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		<title>Anaphylaxis and Acute Allergic Reactions</title>
		<link>http://emergencymed.wordpress.com/2009/03/11/anaphylaxis-and-acute-allergic-reactions/</link>
		<comments>http://emergencymed.wordpress.com/2009/03/11/anaphylaxis-and-acute-allergic-reactions/#comments</comments>
		<pubDate>Wed, 11 Mar 2009 13:00:21 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Shock]]></category>
		<category><![CDATA[Allergic reactions]]></category>
		<category><![CDATA[anaphylaxis]]></category>
		<category><![CDATA[hypersensitivity]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=21</guid>
		<description><![CDATA[Allergic reactions can range from trivial-appearing urticaria to full-blown anaphylaxis with cardiovascular collapse and respiratory compromise. The most common etiologies include intravenous penicillin and hymenoptera stings. Although most acute allergic reactions are type I, where an antigen interacts with IgE on mast cells and basophils, other hypersensitivity reactions include type II antigen interacting with IgG [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=21&subd=emergencymed&ref=&feed=1" />]]></description>
		<wfw:commentRss>http://emergencymed.wordpress.com/2009/03/11/anaphylaxis-and-acute-allergic-reactions/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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		<title>Neurogenic Shock</title>
		<link>http://emergencymed.wordpress.com/2009/03/11/neurogenic-shock/</link>
		<comments>http://emergencymed.wordpress.com/2009/03/11/neurogenic-shock/#comments</comments>
		<pubDate>Wed, 11 Mar 2009 12:53:02 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Shock]]></category>
		<category><![CDATA[bradycardia]]></category>
		<category><![CDATA[hypotension]]></category>
		<category><![CDATA[injury]]></category>
		<category><![CDATA[Neurogenic shock]]></category>
		<category><![CDATA[spinal cord]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=19</guid>
		<description><![CDATA[Neurogenic shock occurs after an injury to the spinal cord. Sympathetic outflow is disrupted resulting in unopposed vagal tone. The major clinical signs are hypotension and bradycardia. Acute spinal cord injury is most commonly seen with blunt trauma accounting for approximately 85 to 90 percent of cases. The most commonly affected area is the cervical [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=19&subd=emergencymed&ref=&feed=1" />]]></description>
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		<slash:comments>1</slash:comments>
	
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		<title>Cardiogenic Shock</title>
		<link>http://emergencymed.wordpress.com/2009/03/11/cardiogenic-shock/</link>
		<comments>http://emergencymed.wordpress.com/2009/03/11/cardiogenic-shock/#comments</comments>
		<pubDate>Wed, 11 Mar 2009 12:45:33 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Shock]]></category>
		<category><![CDATA[cardiogenic shock]]></category>
		<category><![CDATA[heart]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=17</guid>
		<description><![CDATA[Cardiogenic shock results from an impairment of the heart&#8217;s pumping ability such that there is inadequate perfusion to meet the resting metabolic demands of the tissues. The etiology is most commonly related to a loss of effective myocardial contractility as seen with acute myocardial infarction (AMI), left ventricular (LV) aneurysm, cardiomyopathies, myocarditis, myocardial contusion, and [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=17&subd=emergencymed&ref=&feed=1" />]]></description>
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		<slash:comments>2</slash:comments>
	
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		<title>Septic Shock</title>
		<link>http://emergencymed.wordpress.com/2009/03/07/septic-shock/</link>
		<comments>http://emergencymed.wordpress.com/2009/03/07/septic-shock/#comments</comments>
		<pubDate>Sat, 07 Mar 2009 15:20:20 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Shock]]></category>
		<category><![CDATA[Sepsis]]></category>
		<category><![CDATA[Septic Shock]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=15</guid>
		<description><![CDATA[Sepsis is a heterogenous clinical syndrome that can be caused by any class of microorganism. The incidence of sepsis has risen over the past three decades, affecting approximately 300,000 to 500,000 patients annually in the United States. About one-half of these patients will develop shock with a mortality rate ranging from 20 to 80 percent. [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=15&subd=emergencymed&ref=&feed=1" />]]></description>
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		<slash:comments>1</slash:comments>
	
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		<title>Therapeutic Approach to the Hypotensive Patient</title>
		<link>http://emergencymed.wordpress.com/2009/03/07/therapeutic-approach-to-the-hypotensive-patient/</link>
		<comments>http://emergencymed.wordpress.com/2009/03/07/therapeutic-approach-to-the-hypotensive-patient/#comments</comments>
		<pubDate>Sat, 07 Mar 2009 15:13:16 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Shock]]></category>
		<category><![CDATA[emergency departments]]></category>
		<category><![CDATA[Hypotensive]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=11</guid>
		<description><![CDATA[Over 1 million patients in shock present to emergency departments each year. Shock occurs when circulation is insufficient to meet the resting metabolic demands of the tissues. Such tissue hypoperfusion is associated with decreased venous oxygen content and metabolic acidosis (lactic acidosis). Shock is classified into four categories based on etiology: (1) hypovolemic, (2) cardiogenic, [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=11&subd=emergencymed&ref=&feed=1" />]]></description>
		<wfw:commentRss>http://emergencymed.wordpress.com/2009/03/07/therapeutic-approach-to-the-hypotensive-patient/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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			<media:title type="html">emergencymed</media:title>
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		<title>Fluids, Electrolytes, and Acid-Base Disorders</title>
		<link>http://emergencymed.wordpress.com/2008/09/23/fluids-electrolytes-and-acid-base-disorders/</link>
		<comments>http://emergencymed.wordpress.com/2008/09/23/fluids-electrolytes-and-acid-base-disorders/#comments</comments>
		<pubDate>Tue, 23 Sep 2008 12:01:57 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Resuscitative Problems]]></category>
		<category><![CDATA[Acid-Base Disorders]]></category>
		<category><![CDATA[Electrolytes]]></category>
		<category><![CDATA[Fluids]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=9</guid>
		<description><![CDATA[FLUIDS
The body&#8217;s response to fluid and electrolyte abnormalities is stratified. Our first concern, therefore, starts with oxygenation and ventilation, then circulation and, last, acid-base and electrolytes. When altered, fluids and electrolytes should be corrected in the following order: (a) volume; (b) pH; (c) potassium, calcium, magnesium; and (d) sodium and chloride. Reestablishing tissue perfusion often [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=9&subd=emergencymed&ref=&feed=1" />]]></description>
		<wfw:commentRss>http://emergencymed.wordpress.com/2008/09/23/fluids-electrolytes-and-acid-base-disorders/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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		<title>Resuscitation of Children and Neonates</title>
		<link>http://emergencymed.wordpress.com/2008/09/23/resuscitation-of-children-and-neonates/</link>
		<comments>http://emergencymed.wordpress.com/2008/09/23/resuscitation-of-children-and-neonates/#comments</comments>
		<pubDate>Tue, 23 Sep 2008 11:53:15 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Resuscitative Problems]]></category>
		<category><![CDATA[Neonates]]></category>
		<category><![CDATA[Resuscitation of Children]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=7</guid>
		<description><![CDATA[PEDIATRIC CARDIOPULMONARY RESUSCITATION
Securing the Airway
The airway in infants and children is smaller, more variable in size, and more anterior than in the adult.
Mild extension of the head (sniffing position) opens the airway. Chin lift or jaw thrust maneuvers may relieve obstruction of the airway related to the tongue. Oral airways are not commonly used in [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=7&subd=emergencymed&ref=&feed=1" />]]></description>
		<wfw:commentRss>http://emergencymed.wordpress.com/2008/09/23/resuscitation-of-children-and-neonates/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	
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			<media:title type="html">emergencymed</media:title>
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		<title>Dysrhythmia Management</title>
		<link>http://emergencymed.wordpress.com/2008/09/23/dysrhythmia-management/</link>
		<comments>http://emergencymed.wordpress.com/2008/09/23/dysrhythmia-management/#comments</comments>
		<pubDate>Tue, 23 Sep 2008 11:49:30 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Resuscitative Problems]]></category>
		<category><![CDATA[Dysrhythmia Management]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=5</guid>
		<description><![CDATA[SUPRAVENTRICULAR DYSRHYTHMIAS
Sinus Dysrhythmia
Clinical Features
Some variation in the sinus node discharge rate is common, but if the variation exceeds 0.12 s between the longest and shortest intervals, sinus dysrhythmia is present. The electrocardiogram (ECG) characteristics of sinus dysrhythmia are (a) normal sinus P waves and PR intervals; (b) 1:1 atrioventricular (AV) conduction; and (c) variation of [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=5&subd=emergencymed&ref=&feed=1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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		<title>Advanced Airway Support</title>
		<link>http://emergencymed.wordpress.com/2008/09/22/advanced-airway-support/</link>
		<comments>http://emergencymed.wordpress.com/2008/09/22/advanced-airway-support/#comments</comments>
		<pubDate>Mon, 22 Sep 2008 18:53:12 +0000</pubDate>
		<dc:creator>emergencymed</dc:creator>
				<category><![CDATA[Resuscitative Problems]]></category>
		<category><![CDATA[Airway Support]]></category>
		<category><![CDATA[CRICOTHYROTOMY]]></category>
		<category><![CDATA[NASOTRACHEAL INTUBATION]]></category>

		<guid isPermaLink="false">http://emergencymed.wordpress.com/?p=3</guid>
		<description><![CDATA[Control of the airway is the single most important task for emergency resuscitation. If the patient has inadequate oxygenation or ventilation, inability to protect the airway due to altered sensorium from illness or drugs, or external forces compromising the airway (i.e., trauma), he or she may need advanced airway techniques as described in this chapter.
INITIAL [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=emergencymed.wordpress.com&blog=4942381&post=3&subd=emergencymed&ref=&feed=1" />]]></description>
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		<slash:comments>0</slash:comments>
	
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