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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

While not specifically reviewed in this post, check out the methemoglobinemia tox card for more information about one of the other known events that can occur with local anesthetic administration. 1] CV manifestations include: Bradycardia, tachycardia, ventricular dysrhythmias, cardiac arrest. [1-5]

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

1-3 As many as 25% of acute PE cases present as sudden cardiac death. 4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Case A 25-year-old-female presented to the ED in cardiac arrest. Upon arrival, our 25-year-old patient was in PEA arrest.