Remove Blood Transfusions Remove EKG/ECG Remove Hyperthermia / Hypothermia
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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

ECG: Evaluate for ischemia, right heart strain. Blood transfusion Reduces the overall proportion of HbS. Issues with pulse oximetry Pulse oximetry frequently underestimates the alveolar hypoxia that results in sickling and pulmonary infarction and overestimates the arterial blood oxygen saturation.

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Vasopressor Nonresponse

Northwestern EM Blog

Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. Those at higher risk of hypocalcemia (vitamin D deficiency, ESRD, hyperparathyroidism, burns, multiple blood transfusions, etc.) may have greater severity of shock with increased mortality.

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Grand Rounds Recap 5.3.23

Taming the SRU

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,