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Ep 115 Emergency Management of the Agitated Patient

Emergency Medicine Cases

These are high risk patients and they are high risk to you and your ED staff. The post Ep 115 Emergency Management of the Agitated Patient appeared first on Emergency Medicine Cases. It’s important to understand that agitation or agitated delirium is a cardinal presentation – not a diagnosis.

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The emergency management of mediastinal masses

Don't Forget the Bubbles

One final option is emergent transfer, prior to intubation, to a centre that has ECMO on standby. Children who have a malignant tumour may require chemotherapy or radiotherapy, though, significant destruction of tumour cells may cause tumour lysis syndrome and complicate diagnosis – this management should be guided by the oncology team.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. 6 24% more likely to return to the ED within 72 hours of their initial visit in an urban ED with >50,000 annual visits. One cohort study in a public ED found that 84.5%

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A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?

Dr. Smith's ECG Blog

If I saw this patient in the ED, I would electrically cardiovert back to sinus rhythm. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm. This could be a beta blocker such as metoprolol, or a calcium channel blocker such as diltiazem.

ED 127
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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

By Sofiya Diurba MD, reviewed by Meyers, Grauer A woman in her 50s with PMH known RBBB and prior syncopal events presents to the ED for five syncopal events over the last 24 hours. This is her first ECG in the ED: What do you see? Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.”

ED 120
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A man in his 40s with acute chest pain. What do you think?

Dr. Smith's ECG Blog

Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking history for evaluation of acute chest pain. Initial emergency management is similar for both entities ). Triage ECG: What do you think? This situation has been named "Emery phenomenon."

STEMI 130
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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

REBEL EM

The risk of a biphasic reaction is what keeps patients in the ED while being observed for a set period of time. Thus, if the patient has complete resolution of symptoms after appropriate treatment of anaphylaxis, there is no set time period for monitoring in the ED. A naphylaxis – Emergency Medicine Updates 2.