Remove COPD Remove Documentation/Coding Remove Resuscitation
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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

He had COPD and depended on home oxygen. ” I documented those words in my progress note that day. KS died during the final one when his inpatient team failed to resuscitate him after a cardiac arrest. He had declined hospice care until the end and would not even accept “do not resuscitate” status.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center.

EKG/ECG 52
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ABG Versus VBG in the Emergency Department

EMDocs

Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case Emergency Medical Services brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min).

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A woman in her 20s with syncope

Dr. Smith's ECG Blog

This patient was reported to have distant heart sounds but was not hypotensive and did not have JVD according to documentation. Beck’s triad only happens all 3 together in approximately 1/3rd of patients. Smith comment : First, IV fluids are indicated to improve preload.

EKG/ECG 52
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Episode 21- Updates and Controversies in the Early Management of Sepsis and Septic Shock

EB Medicine

And sepsis-3 redefined septic shock as “hypotension not responsive to fluid resuscitation” with the added requirement of vasopressors to maintain a MAP greater than or equal to 65 and with a lactate > 2. Sepsis is coming in at a higher readmission rate and cost per admission than acute MI, CHF, COPD, and PNA. vasopressin.

Sepsis 40
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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Coding for Mucositis. Give appropriate fluids, vasopressors, and antibiotics. Cohort Study of the Impact of Time to Antibiotic Administration on Mortality in Patients with Febrile Neutropenia. Antimicrob Agents Chemother. 2014 Jul; 58(7): 3799–3803. doi: 10.1128/AAC.02561-1 02561-1 Stiff, PJ. Loyola University Medical Center.