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SGEM#295: Teacher Teacher – Tell Me How to Do It (Diagnose a PE)

The Skeptics' Guide to EM

Case: A 63-year-old female presents to the emergency department (ED) with chest pain for the past eight hours. An ECG, chest x-ray and troponin are all within normal limits and she has no calf swelling or tenderness. AEM June 2020. It is pleuritic, worse with certain movements and associated with some shortness of breath.

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Vasopressor Nonresponse

Northwestern EM Blog

Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG.

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Grand Rounds Recap 4.19.23

Taming the SRU

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).