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A Losartan Dream for COPD

Critical Care Now

The Pre-brief Working in a Pulmonary Function Lab plus providing in-patient care within the hospital, I see patients every day that have been diagnosed with chronic obstructive pulmonary disease (COPD). These patients frequently ask if they can be cured of COPD. COPD continues to be a problem for many adults.

COPD 52
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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. If RV pressure is extreme, it can exceed LV pressure causing paradoxical septal wall motion toward the LV as well.

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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

Jeff : So as well all know Sepsis is bread and butter emergency medicine, but, what is sepsis? Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. If it’s possible to establish an IV and initiate fluids without delaying transport, EMS should do that as well.

Sepsis 40
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

The loss of these cells leads to immunosuppression as well as decreased responsiveness of the immune system as a whole Patients with neutropenia will not only get very sick very quickly, but also will have blunted immune response and may not localize signs of infection well Fever or malaise may be their only presenting symptoms.