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A majority of these patients are affected by chronic obstructive pulmonary disease (COPD). Over in the resuscitation bay, a CTAS. The post CJEM Visual Abstract – Emergency department crowding negatively influences outcomes for adults presenting with COPD first appeared on CanadiEM.
We cover emotional intelligence, the best antibiotic for diverticulitis, SpO2 targets for COPD, return rates after giving opioids in the ED for back pain, and resuscitative thoracotomy - clamshell vs left anterolateral approach. It’s the JournalFeed Podcast for the week of Apr 12-16, 2021.
A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. We present a case of refractory ventricular fibrillation resuscitation due to coronary vasospasm from recent amphetamine use with IV NTG.
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.,
In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Resuscitation. The malleability of arterial carbon dioxide makes it a potential therapeutic target. N Engl J Med. Epub 2023 Jun 15.
Mortality from asthma and COPD is predicted to increase due to increasing humidity and concentration of particulate matter. C above historical average. The endemic regions of vector-borne diseases will change significantly, with large increases.
He had COPD and depended on home oxygen. 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. I wonder if I am now better equipped to counsel her.
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]. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Resuscitation.
RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. 10,11 Vid 1. SubX4 Asystole RV > LV. SubX2 Asystole RV > LV. Upon arrival, our 25-year-old patient was in PEA arrest.
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. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. In the cath lab, the patient’s blood pressure remained low.
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.
seen on AP4 or SX view) = high sens, low spec Collapse/inversion of RA greater than 1/3 of cardiac cycle (increases specificity) Early diastolic inversion of RV free wall (can use M-mode in PSLA or PSSA to see this) = most specific.
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).
Written by Magnus Nossen, edits by Smith The patient in today's case is an 85-year-old male with a history of COPD and dementia. The only other processes identified that caused this type of postinfarction T wave evolution were cardiopulmonary resuscitation, reinfarction, and very small infarcts.
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