CONTENTS Rapid Reference 🚀 Pathophysiology Causes of ICH Imaging Getting started – Which scans to order initially Noncontrast CT scan CT angiography +/- venography MRI Invasive angiography Treatment Airway management Anticoagulation reversal Blood pressure management Neurosurgical interventions Supratentorial hematoma evacuation Cerebellar hematoma Intraventricular hemorrhage & EVD Seizure monitoring & management Other supportive measures Prognostication Related […]
Search Results for: TXA
EM Nerd-The Case of the Erratic Pendulum
In January 2015, the NEJM published the results of the MR CLEAN trial. Its findings sent ripples through the world of medicine (1), as the first RCT to demonstrate a benefit for endovascular therapy in acute ischemic stroke. In its wake 6 trials were left marooned, their enrollment halted prematurely due to the benefits demonstrated […]
EMCrit 101 – Avoiding Resuscitation Medication Errors – Part I
I am joined by Bryan Hayes to discuss the avoidance of critical medication errors during resuscitations.
EMCrit 98 – Cyclic (Tricyclic) Antidepressant Overdose
Tricyclic overdoses are not uncommon and these patients can be incredibly ill.
Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, and bivalirudin
CONTENTS Overview of indirect-acting anticoagulants (heparin & fondaparinux) Risk assessment Basic science – how these agents work Choice of agent Protamine for reversal of unfractionated or low molecular-weight heparin Unfractionated heparin (UFH) Dosing and monitoring of unfractionated heparin Heparin resistance Management Pseudo-heparin resistance Low molecular-weight heparin (LMWH) Various LMWH agents & dosing Enoxaparin dosing & […]
Sodium Channel Blocker Toxicity (including tricyclic antidepressants)
CONTENTS Overview – sodium channel blockers & tricyclic antidepressants Pathophysiology and terminology Agents that inhibit cardiac sodium channels Diagnosis EKG findings of sodium channel blockade Clinical manifestations Management – three antidotes #1) Bicarbonate #2) Lidocaine #3) Lipid emulsion Management – clinical approach Intubation if necessary Hypotension Ventricular tachycardia Seizure Podcast Questions & discussion Pitfalls Tricyclic […]
NeuroEMCrit – Time is Brain – Acute Ischemic Stroke Part 2: Mechanical Thrombectomy
part II of the stroke update…
CQiR – Dizzying Details in Detecting Posterior Stroke: Role of CTP in the Initial Diagnosis
CTP for posterior stroke?
A Secondary Examination of The Adventure of the Cardboard Box-Addendum
Published in the NEJM on December 17th 2014, ushered in with the inflated fanfare only the medical industry capable of, MR CLEAN marks the first successful trial of interventional therapy for acute ischemic stroke. In direct contrast to IMS-3, SYNTHESIS and MR RESCUE, MR CLEAN is a significantly positive trial. The authors demonstrated success in […]
IBCC – Acute Ischemic Stroke (AIS)
Acute ischemic stroke (AIS) is a common cause of admission to the neurological ICU, as well as a complication of critical illness that may occur among patients within any ICU. The stroke neurology team will take the lead in managing these patients (including decisions regarding tPA and endovascular intervention). This chapter focuses more on aspects […]
EMCrit Wee – Farkas and I Discuss his Recent PulmCrit Guest Post on Asthma
A polite discussion about a controversial post
Submassive & Massive PE
CONTENTS Most useful material: Crashing patient: Massive PE resuscitation guide 🚀 General approach to (sub)massive PE: (#1) Investigation package (#2) Risk stratification (#3) Thrombolytic contraindications (#4) Treatment approach Resuscitation of massive PE Avoid procedures if possible Fluid management Inotropes & vasopressors Inhaled pulmonary vasodilator(s) Hematologic management: Anticoagulation (heparin) Thrombolysis Regimens: Full dose Half dose Quarter […]
Minh Discusses Three Examples of Airway Management gone Bad
In this podcast short, Minh Le Cong discusses three airway disasters.
The Case of the Thirteen Watches
Door-to-balloon time is probably the most overstated, but least understood surrogate outcome measured in Emergency Medicine today. No sooner does the patient with midsternal chest pressure and ST elevations set foot in the emergency department, when they are packaged up and swept away to the cath lab by a gang of cardiology fellows and attendings. Now with […]
NeuroEMCrit – Team NeuroEMCrit’s H&R Conference Talk, Part 1
3 great cases from the NeuroEMCrit Team
- « Previous Page
- 1
- 2
- 3
- 4
- 5
- 6
- …
- 13
- Next Page »