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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

2016 Mar;12(1):121-9. Author information Timothy Harmon, MD Emergency Medicine Resident Inova Fairfax Medical Campus, George Washington University | The post ACMT Toxicology Visual Pearl: Salt, not Shock appeared first on ALiEM. Acute Card Care. 2013 Dec;15(4):90-2. doi: 10.3109/17482941.2013.841949. Epub 2013 Nov 7. PMID: 24200150.

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Does midodrine help patients wean off vasopressors?

PulmCCM

Midodrine A 75-year-old woman seems to have recovered from septic shock, but each time her norepinephrine infusion is reduced from 0.05 It was reported to improve blood pressure in children with septic shock in 1979, and in the treatment of orthostatic hypotension in 1981. mcg/kg/min, her mean arterial pressure falls below 65 mm Hg.

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emDOCs Podcast – Episode 85: Tricky Cases Part 1

EMDocs

Differential Diagnosis for patient: Infectious endocarditis, CNS infection or abscess, necrotizing soft tissue infection, toxic shock, obstructive pyelonephritis, toxic ingestion, TTP, anaphylaxis with primarily hemodynamic effects, thromembolic phenomenon. Shock types: distributive, cardiogenic, obstructive, metabolic, hypovolemic, adrenal.

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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

Climate change and changes in land usage have contributed to an expanded range of ticks (Beard 2016). 2016 Apr 26;315(16):1767-77. Traveling Ticks are more than just ticking off a checklist before you get ready to travel! There are species of ticks found on every continent and carrying a variety of vectors capable of infecting humans.

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Electrical injuries

Don't Forget the Bubbles

Was the patient thrown from the source (suggestive of DC shock and may result in further blunt force trauma)? Children, especially toddlers, may insert objects into outlets, leading to shocks or burns. Electrical devices used near water sources can cause severe shocks. Was the voltage high or low (as below)?

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emDOCs Podcast – Episode 93: BRASH Syndrome

EMDocs

Episode 93: BRASH syndrome Background: Brash syndrome has 5 components: bradycardia, renal failure, AV nodal blocker, shock, hyperkalemia. BRASH Syndrome: Bradycardia, Renal Failure, AV Blockade, Shock, and Hyperkalemia. BRASH syndrome: Bradycardia, Renal failure, Av blocker, Shock, and Hyperkalemia. Published February 15, 2016.

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ECG Blog #443 — A 40s Man with CP and Dyspnea

Ken Grauer, MD

PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI. For now — Let's continue with ECG signs consistent with and suggestive of acute RV "Strain". Sinus Tachycardia and RAD — as already noted above.

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