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BPAP vs AVAPS for Hypercapnic Respiratory Failure in the ED

RebelEM

Comparison of BPAP S/T and Average Volume-Assured Pressure Support Modes for Hypercapnic Respiratory Failure in the Emergency Department: A Randomized Controlled Trial. Balkan Med J 2021. Balkan Med J 2021. Cureus 2021. There are very limited studies however in the literature on the AVAPS mode of NIPPV.

COPD 133
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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Physiologic dead space higher in chronic lung disease (COPD). Poor candidates: underlying pulmonary disease like COPD, lung cancer, bronchiectasis. Am J Emerg Med. The emergency department evaluation and management of massive hemoptysis. Am J Emerg Med. 2021 Dec;50:148-155. 2024 Nov;85:179-185.

COPD 81
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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]. 2021 June 8;118:20219. to −0.66) and −1.66 (95% CI −2.09 to −0.78) and -1.97 (95% CI −2.70

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ToxCard: Anticholinergic Plant Toxicity

EMDocs

8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. 2021 Aug;59(8):698-704. In moderate to severe cases of anticholinergic toxicity, physostigmine may be used in the right patient scenario for diagnostic and therapeutic reasons. Epub 2020 Dec 9.

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

The Skeptics' Guide to EM

Date: September 20th, 2021 Reference: Litell et al. Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge. Guest Skeptic: Dr. Jess Monas is a Consultant in the Department of Emergency Medicine at the Mayo Clinic Hospital, Phoenix, Arizona. He’s afebrile.

Sepsis 40
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Ann Emerg Med. doi:10.1097/TA.0000000000002192

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest. 2021 Apr;40(2):100852.