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It’s the JournalFeed Podcast for the week of Apr 12-16, 2021. We cover emotional intelligence, the best antibiotic for diverticulitis, SpO2 targets for COPD, return rates after giving opioids in the ED for back pain, and resuscitative thoracotomy - clamshell vs left anterolateral approach.
Physiologic dead space higher in chronic lung disease (COPD). Resuscitate prior to intubation. Bronchoscopy (Pulmonology/critical care): Used in intubated patients, those too unstable for CT despite resuscitation, or if the source of bleeding is not clear despite other imaging (CT). 2021 Dec;50:148-155. Am J Emerg Med.
In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Resuscitation. Epub 2021 Feb 8. 2021 Feb 18. The malleability of arterial carbon dioxide makes it a potential therapeutic target.
It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Resuscitation.
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. 2021 Apr;40(2):100852. Epub 2021 Mar 26. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV.
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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