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In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic
Give your patients a break. Nobody is a perfect diagnostician. Not even the best trained physician can determine, with 100% accuracy, which patients have serious pathology. Even with advanced testing, we aren’t close to perfect. However, if you listen to the subtext of breakroom complaints, it seems like we expect patients to be better diagnosticians […] The post Are you a perfect diagnostician?
In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. They explain complementary diagnostic insights into pericardial effusion and cardiac tamponade, occlusion MI and RV strain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.
An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.
Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem? The Code Whatever caused the initial arrest Iatrogenic injuries from CPR Patients are in a pathophysiologic state that is being called “post-cardiac arrest syndrome” Hypoxic brain injury Myocardial dysfunction Systemic ischemia/reperfusion injury SIRS Response Very fragile state Hard to diagnose what is going on Small Things
St.Emlyn's - Emergency Medicine #FOAMed The ARC-H principle: re-defining global health & shifting the balance. Anisa Jafar @EMergeMedGlobal takes us through why definitions really matter. The post The ARC-H principle: re-defining global health & shifting the balance. appeared first on St.Emlyn's.
March Recap Our teams exhibited at 5 trade shows in March, including the South Carolina EMS Conference and the Texas EMS Medical Director Conference. As we prepare for a busy April, let's take a moment to review the exciting announcements we made this month. Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient
March Recap Our teams exhibited at 5 trade shows in March, including the South Carolina EMS Conference and the Texas EMS Medical Director Conference. As we prepare for a busy April, let's take a moment to review the exciting announcements we made this month. Welcoming a New Health System Carolina Pines Regional Medical Center is the first in South Carolina to implement Pulsara, greatly improving collaboration between EMS partners and the emergency department, ultimately leading to better patient
I read a comment the other day on Facebook that said, “To error is human, but to blame someone else… that shows management potential.” I have heard this expression before and laugh every time. Humans have made mistakes throughout our existence on earth, and how we synthesize the information surrounding that mistake can be the “make or break” when it comes to reducing the odds of it repeating.
By Sarah M. Jackson Peer Reviewed During the COVID-19 pandemic, opioid overdose deaths increased from 50,000 in 2019 to 80,000 in 2021, largely driven by synthetic opioids such as fentanyl.1 Despite the escalating use of synthetic.
Posterior circulation strokes make up 20 percent of all strokes but account for 40 percent of stroke misdiagnoses. 1 Vertigo and dizziness are often the hallmarks, but distinguishing a central (brain) from a peripheral (vestibular) etiology is difficult. Dizziness is especially tricky, with up to 40 percent of strokes presenting with dizziness being missed. 2 Vertebral artery dissection (VAD) is notoriously elusive, producing anatomically scattered symptoms that may stutter for days. 3 Case 1: P
An 18-year-old woman presented to the emergency department (ED) with symptoms of nausea, vomiting, diarrhea, and abdominal pain. She reported that these symptoms started two days prior, shortly after consuming a fruit known as ackee. Since the onset of illness, she had been unable to tolerate any oral intake. Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement.
“How bad could it be?” was the last thought before I took a small bite of the Carolina Reaper pepper I had grown in my (toxicology-required) garden. “Am I going to die?” was the next thought as I swigged milk to extinguish the blowtorch in my mouth, mopped sweat off my forehead, tried not to retch, and rethought recent life-choices. The Carolina Reaper pepper.
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