CONTENTS Rapid Reference 🚀 SCAPE vs subacute pulmonary edema Diagnosis Triggers of SCAPE Principles of treatment CPAP or BiPAP Nitroglycerine Oral vasodilators Volume management & diuresis Opioid Podcast Questions & discussion Pitfalls SCAPE dx & rx checklist ✅ central clinical findings of SCAPE (more) Rapid onset of severe dyspnea. Hypoxemia. Hypertension (SBP >160 mm and/or […]
Search Results for: prehospital
Status Epilepticus
CONTENTS Getting started: (1) Initial approach to status 🚀 (2) After the dust has settled 🚀 Causes Diagnosis & definition Definition of status epilepticus Seizure mimics Differentiation from pseudoseizure Treatment overview Initial treatment Benzodiazepine Hypoglycemia, hyponatremia, and thiamine deficiency Conventional antiseizure medication Neurolytic intubation Subsequent management NORSE Neuromonitoring Waking & weaning Supportive medical management Approach […]
Bradycardia
CONTENTS Clinical aspects Rapid Reference 🚀 Bradycardia is dangerous: physiology review Causes of bradycardia Sinus node dysfunction AV block General evaluation for the etiology ECG evaluation & subtypes of bradycardia Heart blocks 1st degree AV block Mobitz I (Wenkebach Block) Mobitz II 2:1 Block 3rd degree AV block Escape rhythms Junctional escape Ventricular escape Sinus […]
Old Chapter from Crashingpatient.com
2010 ACLS Guidelines web site with tons of resources Do not place sheets between patients and cooling blankets history of hypothermia and review (Chest 2008;133;1267-1274) Hypothermia review article Bernard SA, Buist M, Induced hypothermia in critical care medicine: a review. Crit Care Med 2003;31:2041-51. Major clinical trials have been […]
EMCrit 235 – Cardiac Arrest Science with Zack Shinar
Cardiac Arrest Science
The Adventure of the Resident Patient
In a properly automated and educated world, then, machines may prove to be the true humanizing influence. It may be that machines will do the work that makes life possible and that human beings will do all the other things that make life pleasant and worthwhile. -ISAAC ASIMOV The term Cyborg, short for […]
The Case of the Scientific Ruse
February 7th 2019 marked a auspicious day in the history of the NEJM and its relationship with the pharmaceutical industry. In 2015, the NEJM shifted their significant weight in support of a strong union between industry and medicine1,2,3. With the simultaneous publication of four pharmaceutical sponsored trials, each brimming with its own unique form of […]
Carbon monoxide poisoning
CONTENTS Diagnosis Epidemiology Symptoms & Presentation Tests that may provide clues Specific testing for carbon monoxide Neuroimaging Cognitive schema for diagnosis? Treatment Physiologic basis of therapy Risk stratification ?? Mild CO intoxication Severe CO intoxication Hyperbaric oxygen? Isocapneic hyperventilation? Podcast Questions & discussion Pitfalls epidemiology: tends to occur in specific situations Burning of any fuel […]
Type-1 Myocardial Infarction (OMI & NOMI)
CONTENTS diagnosis Nomenclature & types of MI Diagnosis DDx of MI EKG findings in MI Anterior OMI Inferior OMI RV OMI (RVMI, including management) Posterior OMI High lateral OMI OMI in LBBB or RV-pacing OMI vs aneurysm Hyperacute T-waves & de Winter pattern Wellens patterns Subendocardial ischemia patterns Risk stratification management General supportive care PCI […]
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