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Episode 9 - Diagnosis and Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

EB Medicine

COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. With respect to the ED – in 2011, there were more than 1.7 With respect to the ED – in 2011, there were more than 1.7

COPD 40
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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

Goldfrank’s Toxicologic Emergencies, 9e New York, NY: McGraw-Hill; 2011. Methemoglobin Inducers. In: Nelson LS, Lewin NA, Howland M, Hoffman RS, Goldfrank LR, Flomenbaum NE. Link Post Peer Reviewed By: Salim R.

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What are time-limited trials in critical care?

PulmCCM

A suggested schema for time-limited trials was suggested by Quill and Holloway in 2011 in JAMA. 3 days for anoxic encephalopathy to regain pupillary responses after cardiac arrest, 4-7 days for a DNR/DNI patient to receive NIPPV for COPD exacerbation, etc.) 2011 Oct 5;306(13):1483-4. 2007 Dec 1;335(7630):1132. doi: 10.1136/bmj.39371.524271.55.

COPD 45
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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. 2011 Mar;123(16):1788-1830. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. Circulation.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Heart 2011; 97 : 838-843 [link] 14. This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O'Rourke, and Brian Hiestand. J Am Coll Cardiol.

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ABG Versus VBG in the Emergency Department

EMDocs

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). Epub 2011 Dec 12. 2011 Aug;71(2 Suppl 3):S364-9.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

2011 Jun;153(6):773-9. Epub 2011 Apr 22 Coyne CJ, Le V, Brennan JJ, Castillo EM, Shatsky RA, Ferran K, Brodine S, Vilke GM. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.