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 76
article thumbnail

Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. Target trial emulation is a methodologic framework to improve observational studies that begins by creating a hypothetical protocol for the ideal RCT, and then designing your observational protocol to emulate it as closely as possible ( Hernn 2022 ). JAMA Intern Med.

ALS 82
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

Penetrating chest trauma

Don't Forget the Bubbles

They found NO difference in drain failure rates ( 11% pigtail vs 13% chest tube P=0.74), total daily volume drained or length of ICU stay between groups. 2022 Dec;57(12):986-993. Trials 23, 384 (2022). The primary outcome measure was chest drain failure, i.e., retained haemothorax requiring a secondary interventional procedure.

E-9-1-1 139
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

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.