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emDOCs Revamp – Acute Chest Syndrome

EMDocs

2018 Aug;46(3):144-151. Epub 2018 Oct 17. Chinawa JM, Ubesie AC, Chukwu BF, Ikefuna AN, Emodi IJ. -smoke, high ozone levels, smog) Asthma/reactive airway disease (RAD) Diagnostic criteria 7,8 Respiratory symptoms +/- fever (at least 38.0 C or 100.4 mg/kg, max 4 mg per dose q20-30min) or hydromorphone (0.01-0.02 mg/kg, max 0.4

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ABG Versus VBG in the Emergency Department

EMDocs

In this situation, an ABG should be obtained periodically for correlation, though this is more relevant for the intensive care unit (ICU) setting than in routine ED care (5, 9). 2018 Mar;33(3):176-181. 11) Webb RK, Ralston AC, Runciman WB. Epub 2018 Mar 7. PMID: 17652681; PMCID: PMC2660085. (7) J Intensive Care Med.

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Tasty Morsels of Critical Care 013 | Tracheostomy – Putting it in

Emergency Medicine Ireland

Intensivists have embraced the tracheostomy as an ICU procedure. 2018 Mar;7(2):255-260. doi: 10.21037/acs.2018.03.01. In a breaking from what could only loosely be described as tradition at this point, this podcast is going to be in 2 parts. It’s one of the most invasive and one of the riskier procedures we do. 2018.03.01.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.

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Inotropes and Vasopressors: Doses, indications, contraindications and effects

ECG & Echo Learning

Below follows a drug manual for use in the CCU (coronary care unit), ICU (intensive care unit) or ER (emergency room). JAMA 2018; 319:1889. Gordon AC, Mason AJ, Thirunavukkarasu N, et al. Crit Care 2018; 22:131. Most agents exhibit both vasopressor and inotropic effects (Figure 1). Albanèse J, Leone M, Delmas A, Martin C.

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EM@3AM: Cardiac Transplant Complications

EMDocs

10 Although this is not the same pathophysiology seen in ACS from an acute plaque rupture leading to coronary artery occlusion, patients can have relatively abrupt coronary ischemia causing ACS due to acute, concentric vessel narrowing. 3 Many will experience vague, nonspecific symptoms such as weakness or fatigue.

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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

REBEL EM

2 Amiodarone is commonly known for its anti-arrhythmic properties and a commonly used agent in the Intensive Care Unit (ICU). Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). 2018, PMID: 30571262 Gritsenko, Diana, et al. 2018, PMID: 30571262 Gritsenko, Diana, et al. 2, 2018, pp. Circulation , 5 Nov.