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emDOCs Podcast – Episode 116: Massive Hemoptysis

EMDocs

Physiologic dead space higher in chronic lung disease (COPD). Poor candidates: underlying pulmonary disease like COPD, lung cancer, bronchiectasis. Consult pulmonology/critical care, interventional radiology, and cardiothoracic surgery, which may mean transfer. Journal of Vascular and Interventional Radiology.

COPD 81
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SAEM Clinical Images Series: An Ultrasonographic Rabbit Hole

ALiEM

An 86-year-old man with a past medical history of coronary artery disease, hypertension, hyperlipidemia, chronic kidney disease, COPD, choledocholithiasis requiring ERCP and sphincterotomy 2 years ago presented with five days of feeling unwell. doi: 10.1148/radiology.148.1.6856839. History was limited due to cognitive impairment.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

It can be further divided into two types: primary--those that occur in generally healthy individuals without underlying lung disease, and secondary--those that occur in individuals with underlying lung disease such as COPD [1]. doi:10.1148/radiology.144.4.7111716 Smoking is a known risk factor, as is cannabis use [2,5, 7-8].

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A crashing patient with an abnormal ECG that you must recognize

Dr. Smith's ECG Blog

This includes, but is not limited to, PE, asthma/COPD exacerbation, hypoxic vasoconstriction from pneumonia, acute pulmonary hypertension exacerbation. The pulmonary artery trunk is dilated at 35mm per radiology report. This ECG is diagnostic of hemodynamically significant acute right heart strain. This is a very large clot burden.

EKG/ECG 40
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Probing 2023: PoCUS Articles to Change Your Practice

EM Ottawa

Point-of-care ultrasound (PoCUS) is becoming a cornerstone tool in our assessment of patient presentations and is helping us guide our clinical management. This is also represented in the amount of literature that has been published on the use of PoCUS in 2023.