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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. R I Med J (2013). to −0.66) and −1.66 (95% CI −2.09 to −0.78) and -1.97 (95% CI −2.70

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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. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

EKG/ECG 40
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A woman in her 20s with syncope

Dr. Smith's ECG Blog

Given her tachycardia and episodes of syncope, the patient was judged to be in compensated obstructive shock with very high risk of imminent decompensation. 2013 Sep;26(9):965-1012.e15. J Am Soc Echocardiogr. doi: 10.1016/j.echo.2013.06.023. 2013.06.023. PMID: 23998693. Appleton C, Gillam L, Koulogiannis K. Cardiac Tamponade.

EKG/ECG 40
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Pathogens ( Gudiol 2013 ) : The pathogens responsible for neutropenic fever have changed over time. Clin Microbiol Infect 2013; 19:474 Klastersky J. Antibiotics are effectively the only thing standing between these patients and overwhelming sepsis. Give appropriate fluids, vasopressors, and antibiotics. Why empirical therapy?

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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). is more likely to portend death (13, 14). Epub 2019 Dec 30.

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Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. Rupture can be either free wall rupture (causing tamponade) or septal rupture, causing ventricular septal defect with left to right flow and resulting pulmonary edema and shock. References: [1] Lador, A.

EKG/ECG 89