Remove 2022 Remove ACS Remove ICU
article thumbnail

emDOCs Revamp – Acute Chest Syndrome

EMDocs

2022 Jul 5;328(1):57-68. 2022 Aug;58:235244. Epub 2022 Jun 11. Chinawa JM, Ubesie AC, Chukwu BF, Ikefuna AN, Emodi IJ. 2022 Aug;58:235-244. Epub 2022 Jun 11. -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

E-9-1-1 75
article thumbnail

Diagnostic Errors, Revisited: Where Do We Go Wrong, and How Can We Change?

ACEP Now

After developing encephalopathy and hypoxemic respiratory failure, the patient was transferred to the ICU. Further diagnostic testing in the ICU identified salicylate toxicity. Rockville (MD): Agency for Healthcare Research and Quality (US); 2022 Dec. Available from: [link] Newman-Toker DE, Nassery N, Schaffer AC, et al.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? Cardioversion will address the rhythm problem immediately, also if the chest discomfort subsides when SR is restored, ischemia from ACS becomes much less likely. In either case, prompt cardioversion is indicated.

article thumbnail

A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

Clin Cardiol 2022; [link] Labs included: hsTnI 156 ng/L, Hb 12 g/dL, WBC 12x10^9/L, Cr. Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. Opioids in ACS may reduce the pain score, but do not provide reperfusion for ongoing ACS. Lupu L, et al. mg/dL, K 3.5

ACS 52
article thumbnail

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). 2022 Sep 7. However, digoxin is known for its rate-control properties and its direct vagal effect on the atrioventricular node.

article thumbnail

EM@3AM: Basilar Artery Occlusion

EMDocs

The NIHSS cutoff that predicts outcomes is 4 points higher in AC compared with PC infarctions. All patients who receive thrombolytics for ischemic stroke should be admitted to a neurosurgical, neurologic, or medical ICU for management and monitoring, as this is shown to decrease mortality and length of stay. Updated 2022 Dec 22].

EMS 73
article thumbnail

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

REBEL EM

2022 Mar; 17. 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. 2022 Mar; 17. PMID: 30060961 Koller AC, et al. Paper: Nassal MMJ, et al. Resuscitation. Resuscitation.

ICU 52