Remove 2019 Remove Dehydration Remove Shock
article thumbnail

ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. McGraw Hill; 2019. Typically presents in the first few hours following ingestion. References: Perrone J.

article thumbnail

End of Life Care in the ED

Northwestern EM Blog

VitalTalk, 9 May 2019, www.vitaltalk.org/guides/transitionsgoals-of-care Expert Commentary This is a nice review of the steps of what can be a very difficult conversation from Drs. We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

We designed a step-up protocol in which shocks at 50, 100, 200, 300, and 360 J were used for transthoracic cardioversion. IF the Patient is Younger and Athletic: The mechanism of AFib in younger, athletic individuals is often heavily influenced by increased vagal tone ( Rao and Shipon — ACC, 2019 — and — Calvo et al — Br J Sports Med, 2012 ).

EKG/ECG 52
article thumbnail

Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

I’m Jeff Nusbaum and I’m back with Nachi Gupta for the 30 th episode of EMplify and the first Post-Ponte Vedra Episode of 2019. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. I hope everybody enjoyed a fantastic conference. Finally, there is the roux-en-y gastric bypass.

article thumbnail

Episode 32 - Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls (Ethics CME)

EB Medicine

Nachi: As we are just about to see one of the busiest travel days of the year, that would be the Wednesday before Thanksgiving, we thought there would be no better time to discuss the September 2019 issue of EMP: Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls. Nachi: So, I fly about 4 times a month for work.

article thumbnail

Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though.

article thumbnail

EM@3AM: Hyperthermia

EMDocs

Heat stroke can lead to end-organ dysfunction such as rhabdomyolysis, disseminated intravascular coagulation, cardiogenic shock, liver failure, and cerebral edema. Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. Temps greater than 41.5C Heatstroke. link] Simon.