Fri.Sep 22, 2023

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Neurogenic Shock in Children

Pediatric EM Morsels

To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Never fear. As our fearless leader likes to say: “children are not aliens, but they are a special population with unique anatomy and physiology.” Children compensate for blood and volume loss very well… until they don’t.

E-9-1-1 300
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This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?

Dr. Smith's ECG Blog

This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say? "OMI. Activate the cath lab." The T-waves in V2-V6 are diagnostic. It does, in fact, the STE meets STEMI criteria since there is 1 mm of in V4 and V5. There is also some non-diagnostic STE in inferior leads. There is zero reciprocal ST depression. 50% of LAD OMI have zero reciprocal ST depression!

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ECLS-Shock – Extracorporeal Life Support in Infarct-Related Cardiogenic Shock

The Bottom Line

Extracorporeal Life Support in Infarct-Related Cardiogenic Shock Thiele H. NEJM 2023; Online ahead of print. doi:10.1056/NEJMoa2307227 Clinical Question In patients presenting with acute myocardial infarction complicated by cardiogenic shock undergoing revascularisation, does the early unselected application of extracorporeal life support reduce mortality from any cause at day 30?

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Social Risk Factor Documentation in Emergency Departments

University of Maryland Department of Emergency Med

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou.

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The Influence of Low pH on Efficacy of Critical Care Pharmacology w/ Will Heuser, PharmD

The FllightBridge ED

Join Eric and Will Heuser, PharmD, discussing “The Influence of Low pH on Efficacy of Critical Care Pharmacology.