EMDocs

JANUARY 4, 2024

Cardiogenic shock and hypotension can occur (systolic heart failure with reduced ejection fraction.) 10,12 Refractory shock or malignant arrhythmias occur in < 5% of patients. 2008 Apr;51(4):412-5, 415.e1. Cardiotoxicity: Overdose can cause prolonged QRS and QTc intervals. Ann Emerg Med. doi: 10.1016/j.annemergmed.2007.06.004.

Seizures 92

Seizures EKG/ECG Poisoning Shock 92

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Queen of Hearts now thinks that this one looks like posterior OMI, since the STD does appear worst in V3-4: None of this seems to have been understood by the EM doctor or the cardiologist who was consulted. The notes now refer to the patient being in cardiogenic shock, on pressors. He was diagnosed as NSTEMI.

EKG/ECG 83

EKG/ECG Shock Documentation/Coding Academics 83

EMDocs

APRIL 22, 2024

EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. However, as shock resolved and hemodynamic stability improved, RV strain and underfilling of the LV remained apparent 30 minutes after ROSC (Vid 4). Rockville (MD): Office of the Surgeon General (US); 2008. 2008 Mar;28(3):370-2.

Ultrasounds 98

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 98

ACEP Now

SEPTEMBER 13, 2023

Years before, he’d started his EM career as medical director of the ER at Memphis’ public hospital and Memphis Fire EMS. 1 “I remarked that EM was not even a specialty then, and suggested it might be an opportune time for an updated IOM report that examined the achievements and challenges of emergency care in the U.S.,”

EMS 45

EMS Research Military Academics 45

Pediatric Emergency Playbook

OCTOBER 1, 2015

EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. He is in compensated shock. Pediatr Clin N Am 55 (2008) 1343–1358 Garton HJ. Pediatr Clin N Am 55 (2008) 1299–1314 Munck A et al. Are you ready? Medicine is evolving. Hydrocephalus.

Pediatrics 40

Pediatrics Fractures Resuscitation Burns 40

EB Medicine

JULY 8, 2019

From the 80’s to 2008, the worldwide prevalence of obesity nearly doubled! Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Additionally, back in 2010, it was estimated that 6.6% million adults!!

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

JANUARY 20, 2024

We’ll keep it short, while you keep that EM brain sharp. Symptoms of heart failure and cardiogenic shock may develop in more severe cases. A 67-year-old female with past medical history of hypertension presents with acute onset of chest pain without associated symptoms.

EMS 101

EMS Fluid Resuscitation Shock EKG/ECG 101

RebelEM

MAY 15, 2024

Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. 2008 Sep;1138:329-50. Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 122.0 – Neutropenic Fever appeared first on REBEL EM - Emergency Medicine Blog. Give appropriate fluids, vasopressors, and antibiotics.

Infectious Diseases 101

Infectious Diseases Administration Sepsis Anaphylaxis 101

EMDocs

JANUARY 20, 2025

Patients were enrolled in these trials if they had signs of shock, with mortality ranging from 18-29%. 13 While there is good data that early antibiotics for patients in septic shock reduce mortality 18-19 the role of early and aggressive volume resuscitation and its impacts on patient-centered outcomes remain unclear. Inwald et al.

Dehydration 75

Dehydration Fluid Resuscitation Sepsis Resuscitation 75

RebelEM

FEBRUARY 7, 2024

Rezaie, MD (Twitter/X: @srrezaie ) The post REBEL Core Cast 117.0 – Infections of Pregnancy appeared first on REBEL EM - Emergency Medicine Blog. Chorioamnionitis is a bacterial infection of fetal amnion and chorion membranes. Triple antibiotic coverage is recommended. Labor and Delivery and Their Complications. In: Marx, J et al, ed.

Sepsis 102

Sepsis Shock Hospitals Ultrasounds 102

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. Laboratory testing was not immediately available. Trop Med Infect Dis.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111