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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

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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]. 2014 Aug;2(8):638-46. Epub 2014 Jul 3. to −0.66) and −1.66 (95% CI −2.09

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SGEM#346: Sepsis – You Were Always on My Mind

The Skeptics' Guide to EM

He has a history of chronic obstructive pulmonary disease (COPD), hypertension (HTN), congestive heart failure (CHF), and benign prostatic hypertrophy (BPH). This has included the three large RCTs published in 2014-15 comparing early goal-directed therapy (EGDT) to usual care. He’s afebrile.

Sepsis 40
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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. 2014 May;145(5):950-957. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. doi: 10.1378/chest.13-1087.

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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. 10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1.

EKG/ECG 40
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

In 2014, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine started a task force, and by 2016, updated definitions were out again! Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. Jeff : Yes it has! Then in 2001, sepsis-2 was introduced.

Sepsis 40
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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). 2014 Feb;19(2):168-175. Epub 2014 Jan 3.