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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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Sickle Cell Disease Module

Don't Forget the Bubbles

Opioids do not cause ACS but they can exacerbate hypoxia in patients with ACS. Older children and adults usually present with ACS 2-3 days after hospitalisation due to pulmonary infarction (in situ sickling), hypoventilation due to rib infarction (which may be exacerbated by recent narcotic administration) or fat embolism.

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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.

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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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External Validation of Pittsburgh Cardiac Arrest Category (PCAC) Illness Severity Score

REBEL EM

An example using a real case I had while on call in the ICU: A 61-year-old female had a post-induction arrest on the wards/hospital telemetry floor after being intubated for airway protection. Epub 2018 Jul 4. PMID: 30060961 Koller AC, et al. 12 or 24 hours) and utilizing the best of the two scores. Resuscitation.

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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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