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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]. 2022 Dec;106:9-38. Epub 2022 Aug 1. Published on February 28, 2022.

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Valvular Emergencies

EB Medicine

In this episode, Sam Ashoo, MD interviews Adam Sigal, MD and Stephanie Costa, MD - the authors of the August 2022 EMP article on Managing Acute Cardiac Valvular Emergencies in the Emergency Department. Managing Acute Cardiac Valvular Emergencies in the Emergency Department EMplify - August 2022 Episode Outline: Why Valvular disease?

COPD 52
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Proportionality is a major element in the ECG Diagnosis of OMI.

Dr. Smith's ECG Blog

For technical reasons — P waves are not well visible in this tracing — BUT — the P wave in lead I appears to be larger than the P wave in lead II , which is often a tip-off to LA-LL Reversal ( See My Comment in the November 19, 2020 and the May 24, 2022 posts in Dr. Smith's ECG Blog ).

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Chronic open angle glaucoma

Mind The Bleep

Avoid in patients with COPD or asthma reduce IOP by 20-25% Carbonic anhydrase inhibitors: e.g. dorzolamide, brinzolamide Cholinergic (parasympathomimetic) agents: e.g. pilocarpine Systemic medications can be used in acute situations or when topical drops are not tolerated. 2022 Aug 22. Epub 2022 Jan 31. Open Angle Glaucoma.

COPD 52
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The Latest in Critical Care, 3/25/24 (Issue #35)

PulmCCM

Read in JAMA Extracorporeal CO 2 removal for COPD exacerbations (VENT-AVOID trial) Extracorporeal membrane oxygenation (ECMO) is a sometimes life-saving technology for acute respiratory or cardiac failure. It will be interesting to watch our robot colleagues as they train up and interview for our, I mean their new jobs. Investigators at U.S.

COPD 52
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Consider The Probe: Spine Sign - It's Got Your Back!

Cook County EM Blog

The Case: A 68-year-old male with a history of CHF, COPD, CAD s/p stenting, HTN, and DM presents to the emergency department with worsening dyspnea and bilateral lower extremity edema for one week with associated orthopnea, and increased home oxygen requirement. accessed on 03 Apr 2022) [link] Michael Prats, MD. VS: T 36.6,

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Regular Wide Complex Tachycardia. What to do?

Dr. Smith's ECG Blog

A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What do you think?

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