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Malignant Catatonia

Core EM

Disposition to the psychiatry floor, medicine step down unit, or MICU should be guided by the degree of the patient’s vital sign abnormalities, the presence or absence of autonomic instability, and the patient’s response to therapy in the emergency room. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Fink M and Taylor MA.

MICU 246
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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

to 1.12; p = 0.03 for every change in 5ug/min Lower MAP Value: aOR 0.98; 95% CI 0.98 to 0.99; p <0.01 for every change in 1mmHg Higher BMI: aOR 1.04; 95% CI 1.01 to 1.09; p = 0.01 for an increase in 1 Increased Patient Age: aOR 1.31; 95% CI 1.30 to 1.37; p <0.01 for every 10 years Radial Arterial Line Location: aOR 1.74; 95% CI 1.16

ICU 117
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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

In contrast, patients in the ketamine arm had higher rates of MICU admissions. Epub 2021 Dec 14. The care team and outcome assessors were unblinded to the study arm, which may bias the results. The significance of 7-day survival is unclear. Patients in the etomidate arm were admitted to SICU at higher rates. Intensive Care Med.

MICU 52
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Don’t stress, it’s just an ECG…

Core EM

Upon transfer to the MICU, she remained hypotensive and CXR revealed multifocal pneumonia. 2021, April 29). She was taken urgently to cardiac catheterization, which revealed mild diffuse coronary artery disease without occlusion and an estimated Ejection Fraction (EF) of 45%. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130
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An EM Resident’s Guide to Basic Airway Management

Core EM

Pressing on it with your blade has been shown to be associated with better views (Driver 2021). Figure 21: Showing how pressure on the hyoepiglottic ligament gives a good view (cadaver views adapted from Driver 2021) You may or may not have a view at this point. Ever wonder how hard you would need to lift to break the blade?

EMS 130