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BPAP vs AVAPS for Hypercapnic Respiratory Failure in the ED

RebelEM

AVAPS may be useful, but we still need a well conducted RCT to find out if it is (i.e AVAPS: 0.07 P = 0.015 PaCO2 Excretion in 1 st Hour BPAP S/T: 4.75 AVAPS: 10.20 Unfortunately, this RCT is too small with poor methodology which makes it difficult to draw any absolute conclusions. which patients and which conditions).

COPD 129
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Massive Hemoptysis

EM SIM Cases

He previously served as Deputy Medical Director at Andersen Simulation Center, the largest simulation center in the US Army as well as the Simulation Director for Madigan Army Medical Center’s Department of Emergency Medicine Residency. His initial presentation will respond to traditional therapies for COPD exacerbation.

COPD 52
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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. With EMS, patient had a GCS of 3 and was saturating 60% on room air. Vital signs were within normal limits on arrival to the Emergency Department. Potassium resulted as 4.9, initial troponin I 0.05

EKG/ECG 117
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Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

RebelEM

It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial effusion, pneumothorax, and pneumonia [2,3]. appeared first on REBEL EM - Emergency Medicine Blog. to −0.66) and −1.66 (95% CI −2.09

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TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

RebelEM

It’s important to be able to initiate these treatments while also creating the opportunity to investigate possible therapeutic interventions for these patients within the confines of a well designed trial.

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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 90.0 – Methemoglobinemia appeared first on REBEL EM - Emergency Medicine Blog. Goldfrank’s Toxicologic Emergencies, 9e New York, NY: McGraw-Hill; 2011. Link Post Peer Reviewed By: Salim R. The most common are dapsone and topical anesthetic agents (i.e.

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What are time-limited trials in critical care?

PulmCCM

3 days for anoxic encephalopathy to regain pupillary responses after cardiac arrest, 4-7 days for a DNR/DNI patient to receive NIPPV for COPD exacerbation, etc.) But there’s no alarm that beeps when well-intentioned care with an indeterminate prognosis crosses into something else, something darker. It’s a start.

COPD 45