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Malignant Catatonia

Core EM

Definition: Catatonia: A behavioral motor dysregulation syndrome marked by an inability to move normally despite full physical capacity, which can occur in the context of many underlying psychiatric and general medical disorders [4]. Epidemiology : Who typically suffers from catatonia? Who typically suffers from malignant catatonia?

MICU 246
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Something Winter This Way Comes

EMS 12-Lead

MICU transport was unremarkable. There was no obvious pallor, diaphoresis, or dyspnea, and he denied any prior episodes of vomiting. He described the pain as “nagging,” and equally not exacerbated by any kind of movement. A pertinent medical history remarkable for HTN was disclosed, which was well controlled on Rx Olmesartan.

MICU 130
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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

The largest trial comparing invasive arterial blood pressure (IABP) to noninvasive blood pressure (NIBP) monitoring in critically ill patients had just over 700 patients and found a mean difference of 1.0mmHg (+/- 10.2) which was not statistically significant [2]. to 1.12; p = 0.03 for every change in 5ug/min Lower MAP Value: aOR 0.98; 95% CI 0.98

ICU 117
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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

What They Did Prospective, randomized 1:1, parallel-assignment, open-label, single-center trial Randomization process: Sequentially numbered opaque, sealed envelope in blocks of 8 that directed the team to use either etomidate (0.2 Induction drug doses were consistent with the doses recommended in the trial protocol.

MICU 52
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My Burnout

The Overrun

I saw our shiny new MICU vehicles become like us. Substance use is up among all populations, and I’d bet we’re no different. We probably haven’t totaled up or studied the loss of colleagues to a mental health crisis, suicide, or just plain walking away from the profession of caring for people at all levels. Some died. Another check sheet.

MICU 52
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Don’t stress, it’s just an ECG…

Core EM

Upon transfer to the MICU, she remained hypotensive and CXR revealed multifocal pneumonia. She was taken urgently to cardiac catheterization, which revealed mild diffuse coronary artery disease without occlusion and an estimated Ejection Fraction (EF) of 45%. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130
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An EM Resident’s Guide to Basic Airway Management

Core EM

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Practice may not achieve perfection, but it will make you better. fiber optic through the nose).

EMS 130