PulmCCM

NOVEMBER 11, 2021

To focus matters, the hemodynamic variable under consideration is the stroke volume [SV]; in other words, how does a push of phenylephrine affect SV? ’ Diminished stroke volume? In the former group, stroke index [i.e., SV] increased significantly, while in the latter group, stroke index fell in response to phenylephrine.

Stroke 40

Stroke Sepsis Administration Wellness 40

RebelEM

MARCH 8, 2023

CRAO is a stroke of the eye; patients should be considered for a complete stroke work up. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download of the Podcast Definition: Decrease of visual acuity due to a non-traumatic cause. REBEL Core Cast 97.0 – Acute Vision Loss II Click here for Direct Download.

Stroke 52

Stroke Emergency Department Ultrasounds Outcomes 52

PulmCCM

NOVEMBER 17, 2023

For any given hemodynamic state, measure or estimate the P ra and CO [or stroke volume, SV] simultaneously and repeatedly after each intervention. Download his free textbook here. The trick, I believe, lies in ‘operating point guided resuscitation’ [OPGR]. What does this mean? References 1. Front Physiol 2023, 14:1230654.

Operations 132

Operations Ultrasounds Resuscitation Blood Transfusions 132

RebelEM

MAY 18, 2023

These patients can have a vasodilated vascular bed and the initial use of fluids is hypothesized to serve two purposes: Augmenting the macrovascular system (stroke volume and cardiac output) and augmenting the microvascular perfusion (capillary blood flow). Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension.

Sepsis 105

Sepsis Shock Resuscitation Outcomes 105

ACEP Now

JANUARY 30, 2024

Download the ACEP app for your devices or use the web-based version online on acep.org/poctools. The inaugural episode introduces Quality Improvement leaders Arjun Venkatesh, MD, FACEP, and Kori Zachrison, MD, FACEP, who discuss findings from past years of the E-QUAL project’s stroke initiative.

Pediatrics 52

Pediatrics EMS Documentation/Coding Stroke 52

RebelEM

MARCH 13, 2024

REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts Click here for Direct Download of the Podcast Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?

Documentation/Coding 58

Documentation/Coding Outcomes EMS Stroke 58

EM SIM Cases

NOVEMBER 3, 2023

Heat Related Illness Download ECG Curtesy of Life in the Fast Lane, ECG Library for sinus tachycardia. CASE SUMMARY In this case of exertional heatstroke, the team must identify hyperthermia and actively cool the patient while working the patient up for other causes. Link can be found here.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG EMS Hospitals 52

Sensible Medicine

FEBRUARY 28, 2024

JMM Although the skeptical cardiologist questions the value of many procedures and diagnostic tests in cardiology, he remains an enthusiastic advocate of the use of coronary artery calcium (CAC) testing to better personalize each individual's risk of heart attack and stroke.

Stroke 48

Stroke Documentation/Coding Outcomes Wellness 48

RebelEM

MARCH 22, 2023

REBEL Core Cast 98.0 – AVNRT Click here for Direct Download of the Podcast Definition: A regular, narrow-complex rhythm with a ventricular rate that is typically > 160 bpm. Serum troponins should not routinely be obtained.

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

Downeast Emergency Medicine

APRIL 26, 2021

MI or stroke). Secondary outcomes were early head injury related death (within 24 hours after injury), all-cause and cause-specific mortality, disability, vascular occlusive events (MI, stroke, DVT, PE), seizures, complications, neurosurgery, days of ICU care, and adverse events within 28 days. in the TXA group and 9.9%

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

PulmCCM

NOVEMBER 18, 2021

heart disease, hypertension, asthma or lung disease, diabetes, hepatic impairment, stroke or neurological problems, immunocompromise, self-reported obesity or body-mass index of at least 35 kg/m² were enrolled. Download his free textbook here.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

PulmCCM

JANUARY 4, 2022

For example, should a fluid challenge fail to raise stroke volume [SV], a state of physiological preload intolerance exists and additional volume is arguably harmful ; further attempts to increase tissue perfusion might then be best achieved with vasoactives. Download his free textbook here. For what are intravenous fluids diagnostic?

Wellness 40

Wellness Outcomes Sepsis Stroke 40

PulmCCM

SEPTEMBER 13, 2021

This is analogous to a left ventricle with constant stroke volume and heart rate, respectively. Download his free textbook here. However, the following model should dispel some of these half-truths. A Thought Experiment Consider a mechanical piston pump generating a constant pulsatile volume at a constant frequency.

Burns 40

Burns Stroke Ultrasounds Wellness 40

RebelEM

JUNE 12, 2024

REBEL Core Cast 124.0 – Hyperinsulinemia Euglycemia Therapy Click here for Direct Download of the Podcast. 1 Recall that cardiac output is a function of both stroke volume and heart rate. The natural response to diminishing stroke volume is a compensatory rise in heart rate (tachycardia).

Poisoning 105

Poisoning Stroke Shock Administration 105

PulmCCM

SEPTEMBER 23, 2021

The slope of Ea is measured as the end-systolic pressure [Pes] relative to the stroke volume [SV]. Pes is end-systolic pressure, Ees is end-systolic elastance, ESV is end-systolic volume, SV is stroke volume, EDV is end-diastolic volume, EDPVR is end-diastolic pressure-volume relationship. Download his free textbook here.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40

Mind The Bleep

NOVEMBER 2, 2024

Download Scientific Diagram (researchgate.net) ) Assess the shape of the head, specifically looking for: Cephalohematoma: build up of blood vessels ruptured during a vaginal or instrumental delivery which does not cross the suture lines and feels soft rather than boggy on palpation. Place the tape measure above the ears and the eyebrows.

Documentation/Coding 52

Documentation/Coding Dislocations Ultrasounds Wellness 52