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Thyroid Storm Management

Mount Sinai EM

Considerations: If concern for severe asthma/COPD, can use cardioselective beta blocker such as metoprolol. Important, earlier administration may precipitate increased production of thyroid and worsening of storm. IV dose: 0.5 to 1 mg over 10 minutes followed by 1 to 2 mg over 10 minutes q2-3 hr. mg iodide/iodine per drop [0.05

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SGEM#447: Just What I Needed – Preoxygenation Prior To Intubation

The Skeptics' Guide to EM

Case: A 70-year-old man presents to the emergency department (ED) with an exacerbation of COPD. This process involves the administration of supplemental oxygen before the induction of anesthesia to increase the oxygen reserves in the lungs, thereby reducing the risk of hypoxemia.

COPD 113
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A Brilliant Comment Makes the Study of the Week

Sensible Medicine

Administrative data sets are often collected for the purpose of billing, or costing, or administrative organization, and thus are extremely vulnerable to up coding or intentional or accidental omissions. This is a common probably insurmountable problem with morbidities, such as hypertension, diabetes , COPD , etc.

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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. Repeat ECG following return of spontaneous circulation after administration of intravenous nitroglycerin. Click to enlarge.)

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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration.

EKG/ECG 117
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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% References: Price DP. Chapter 127. Read more

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A Heartfelt Plea to Become A Primary Care General Internist

Sensible Medicine

Atrial fibrillation, COPD, serous otitis media, pyelonephritis, a sprained knee, a rash, epididymitis, (I could go on and on and on) are all within your purview. All that said, primary care physicians are well compensated. You can answer any patient’s concerns. You are expected to do it all. The medicine is amazing. The respect.

COPD 62