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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

Repeat ECG following return of spontaneous circulation after administration of intravenous nitroglycerin. The decision was made to communicate directly with the on-call interventional cardiologist with specific and direct intent to discuss the administration of intravenous (IV) NTG. Click to enlarge.) What Would You Do Next?

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

PMID: 37188358 Clinical Question: What is the efficacy and safety of low-dose (25mg) prolonged administration (over 6hrs) of alteplase in patients with massive PE? Reduced-Dose Systemic Fibrinolysis in Massive Pulmonary Embolism: A Pilot Study. Clin Exp Emerg Med 2023.

Stroke 133
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Patient with severe DKA, look at the ECG

Dr. Smith's ECG Blog

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Administration of potassium may be empirical in emergent conditions. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia."

EKG/ECG 52
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Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Administration of potassium may be empirical in emergent conditions. "If Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia."

Shock 40
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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Administration of potassium may be empirical in emergent conditions. "If Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia."

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Grand Rounds Recap 8.16.23

Taming the SRU

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95
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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. The results: The added palliative care did not result in any significant improvement in length of stay, in-hospital mortality, reduced ICU transfers, ICU mortality, use of CPR or mechanical ventilation.

Hospice 52