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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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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. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. In the cath lab, the patient’s blood pressure remained low.

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. Patient’s need adequate fluid resuscitation.

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).

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

2014 Aug 21;124(8):1251-8; quiz 1378. doi: 10.1182/blood-2014-02-482612. Epub 2014 May 28. 2014, November 10). 2014 Jul; 58(7): 3799–3803. Neutropenic Fever: Fever (one reading of 38.3C Give appropriate fluids, vasopressors, and antibiotics. Raad, II, et al., Gibson C, Berliner N. Eur J Haematol 2005; 75:1.