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Episode 66: Aortic dissection with Travis Hughes

Critical Care Scenarios

Extremity neuro changes should prompt driving the MAP >90, naloxone, and IV steroids. . * Open repair of type B dissection has become vanishingly rare due to high morbidity and rare indication. Stenting of the aorta creates risk for spinal cord ischemia, so keep BP higher.

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Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.

Dr. Smith's ECG Blog

He awoke with naloxone. This EKG was recorded as part of a standing order for critical care. The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. He denied any CP or SOB.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

mg q20-30 min per dose) PRN naloxone in case of respiratory depression Some patients have SCD crises pain plan for reference Antimicrobials 11 Ceftriaxone + azithromycin if penicillin allergy for both children and adults. Critical Care Medicine 41(12):p A191, December 2013. C or 100.4 mg/kg, max 0.4

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Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent.

NARCAN 89
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An EM Resident’s Guide to Basic Airway Management

Core EM

Bend the stylet Unless youre a lunatic who likes surprises during critical care procedures, you should bend your own stylet. naloxone), the person is likely to get intubated. ” Australian Critical Care 20.4 “Effect of cooling on oxygen consumption in febrile critically ill patients.”

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