Monthly Archives: March 2012

EMCRIT Podcast #64

by Christie Lech MD EMCRIT Podcast #64 Fluid responsiveness is if someone would increase their stroke volume by at least 10-15% of its baseline, after a 500 cc challenge of a crystalloid over 10-15 minutes. CVP is out! There is … Continue reading

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Emcrit’s wee: Cliff Reid’s Tips for Occasional Intubators

By Tatiana Havryliuk EMCrit Wee – Cliff Reid’s Tips for Occasional Intubators 1.      position – single most important thing, ear to sternal notch 2.      have a check list 3.      discuss plan with the whole … Continue reading

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Acute HIV

by Tatiana Havryliuk MD Dan Egan’s Acute HIV lecture Typical case seen in ED:  22yoM with no pmh with 3 days of fever and sore throat, some vomiting, diarrhea, nonspecific rash, aphthous ulcers, shotty cervical nodes. •       … Continue reading

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EMCRIT 53 – Needle Vs Cric

by Christie Lech MD EMCRIT 53 Minh Le Cong – Why needle cric is superior to surgical techniques: First, identify there is a problem – a cannot oxygenate/cannot intubate situation.  Then, proceed to the neck. Get a 14 gauge cannula and … Continue reading

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EMCrit Live Show # 1

by Tatiana Havryliuk MD EMCRIT Live Show # 1 1. ultrasound guided central lines troubleshooting – make sure you know the depth of vessel and place your needle that distance away from the probe. absolute KEY for transverse ultrasound approach. … Continue reading

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EMCRIT 67 – Tranexamic Acid (TXA)

By Tatiana Havryliuk MD TXA: inhibits the breakdown of clot It is an anti-fibrinolytic Possibly anti-inflammatory too. Crash 2 trial (Lancet 2010) – >20,000 subjects all over the world – primary outcome: survival – absolute mortality reduction of 1.5% in … Continue reading

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EMCRIT 27 – Calcium Channel Blocker OD

by Kei Ko MD 40 yo gentleman comes in taking bunch of CCB’s what do you do? Calcium Channel Blocker OD CCB Classes Nifedipine and other dihydropyridines (amlodipine, felodipine, isradipine, nicardipine, nimodipine, nisoldipine) will cause profound hypotension without bradycardia, due … Continue reading

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Hypertension in the ED

By Dena Asaad-Reiter MD EMRAP 2/2012 Hypertension in the ED is a confusing topic. One can think about hypertension in the ED in 3 general categories: Hypertensive emergency: elevated blood pressure in a symptomatic patient with evidence of end organ … Continue reading

Posted in 1Beginner, 1Intermediate, Cardiology, EM basics | Leave a comment