Lower Dp/Dt and Blood Pressure
Control Pain with fentanyl
Control Heart Rate/Inotropy with esmolol
See the esmolol drip sheet (YOU MUST CHECK ALL NUMBERS WITH YOUR OWN PHARMACY)
Control Blood Pressure
With in order of preference: clevidipine, nicardipine, nitroprusside, nitroglycerin
What about if the patient can't get beta-blockers?
What about labetalol?
Why is the Patient's Blood Pressure Low?
Andy Neill thankfully addressed my erroneous assumption that MIs in Dissection would only be right coronary infarctions
and check out this article as well (J Emerg Trauma Shock 2011;4:273-278)
Site of Blood Pressure Measurement
Rupture of the Aorta
Do a high-icp/vascular intubation (More to come on this)
- Nicardipine and Esmolol are compatible and can be given through the same IV
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 212 – Thoughts on Deliberate Practice and Expertise - November 12, 2017
- EMCrit – Some Weeish Elaboration on my Interview with the Curbsiders - October 31, 2017
- EEMCrit Resident Competition 2018 - October 31, 2017