Monthly Archives: August 2012

Increased ICP aka Brain Code

By Amy Sanghvi, MD Please refer to EMCrit Podcast # 78 In this podcast, Dr. Weingart discusses the care of patients with increased intracranial pressure and herniation in a Tier system. Use Bedside ocular nerve US to screen for inc … Continue reading

Posted in 1Advanced, 1Intermediate, Critical Care, EMCRIT, Head Trauma, neuro | Leave a comment

Ocular Ultrasound by Chris Fox

By Amy Sanghvi, MD Please refer to Emergency Ultrasound Podcast #26 Summary of a lecture that is posted on the awesome Emergency Ultrasound Podcast from an Emergency Ultrasound conference in April. Enjoy! The anatomical parts that are seen on ocular … Continue reading

Posted in 1Advanced, Emergency Ultrasound Podcast, Ophthamology | Leave a comment

RANT! Asthma: A Forgotten Therapy

By Christie Lech, MD Please refer to EMRAP August 2012 This talk refers to the severe, acute asthmatic Pathophysiology: bronchospasm (including smooth muscle hypertrophy and hyper-reactivity) + airway edema (a consequence of inflammation) For bronchospasm, we use beta 2 agonists … Continue reading

Posted in 1Beginner, Airway, EMRAP | Leave a comment

C3: CHF A Rapid Review

By Christie Lech, MD Please Review August EMRAP – C3: CHF Heart failure – inability of the heart to maintain sufficient perfusion to maintain adequate organ function Congestive heart failure – heart failure that results in abnormal fluid accumulation Increase … Continue reading

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Dominating the Vent

By George Lim, MD EMCrit: Dominating the Vent In the ED when you see patients about to be placed on vents, just think: Obstruction (ie asthma, COPD) vs Lung injury (ie. everyone else)? -       Simplifying vent parameters Tidal volume (Vt) … Continue reading

Posted in 1Beginner, 1Intermediate, Airway, Critical Care, EMCRIT, Vent | Leave a comment

Early Repol vs STEMI

By Kei Ko, MD EKG differentiation of early repolarization from subtle anterior STEMI By Smith, S et al. Annals of EM, vol. 60:1, pages 45-56, July 2-12 Objective Differentiating anterior STEMI from early repolarization. Authors hypothesized that ST-segment elevation, T-wave … Continue reading

Posted in 1Advanced, 1Intermediate, Cardiology, Chest pain | Leave a comment

SMARTEM Thrombolytics for Stroke

By Will Fleischman, MD Thrombolytics for Stroke http://smartem.org/podcasts/smart-thrombolytics-acute-stroke General facts: Stroke morbidity/mortality varies widely depending on age/gender/race. Mortality rate is about 8% for ischemic stroke, and 40% for hemorrhagic stroke. 50% have some hemiparesis 6 months out; 1/3 can’t walk … Continue reading

Posted in 1Advanced, neuro, SMARTEM | Leave a comment

EMRAP QT Prolongation

By Christie Lech, MD QT Prolongation   https://www.emrap.org/episode/2012/april/qtprolongation?link=episode-guide Prolonged QT intervals predispose patient’s to Torsades Examples of medications include antipsychotics and anti-emetics (i.e. Zofran) Amiodarone can cause Torsades; it can prolong the QTc by up to 80 msec at when the … Continue reading

Posted in 1Intermediate, Cardiology, EMRAP, Toxicology | Leave a comment

The Value of Symptoms and Signs in the Emergent Diagnosis of Acute Coronary Syndromes

By Christie Lech, MD The Value of Symptoms and Signs in the Emergent Diagnosis of Acute Coronary Syndromes. Body R, Carley S, Wibberley C, et al. Resuscitation 2010;81:281-286. Purpose: To assess the value of individual symptoms and exam findings for … Continue reading

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