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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). proning patients, ECMO) (12).

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

RebelEM

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. The malleability of arterial carbon dioxide makes it a potential therapeutic target. N Engl J Med. Epub 2023 Jun 15.

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

On the other hand, KW was a middle-aged American man with chest pain and significant risk factors for coronary artery disease – hypertension and diabetes – neither of which had ever been terribly well-controlled. She was well hydrated and her vital signs were normal. He had COPD and depended on home oxygen.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Smoking is a known risk factor, as is cannabis use [2,5, 7-8]. Ann Emerg Med.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

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. If RV pressure is extreme, it can exceed LV pressure causing paradoxical septal wall motion toward the LV as well.

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A woman in her 20s with syncope

Dr. Smith's ECG Blog

There appears to be some ST elevation in leads II and aVF, as well as to a lesser extent in the lateral chest leads. Conduction and refractoriness alternans may be seen with WPW-related as well as AV Nodal-dependent reentr y tachycardias — atrial fibrillation — acute pulmonary embolus — myocardial contusion — and severe LV dysfunction.

EKG/ECG 52
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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. 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.

EKG/ECG 52