Monthly Archives: October 2012

Coronary CT’s for low-risk chest pain patients in the ED

By Will Fleischman, MD Refer to SMARTEM General comments Coronary CT and coronary angiography are anatomical tests and say nothing of the clinical significance of whatever it finds. And angiography has been made the gold standard without ever having been … Continue reading

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

Ketophol vs Propofol vs Ketamine

By Ben Azan, MD Please refere to EMRAP Case based discussion: -Case #1: 6M dog bite, several lacs that need to be closed. Needs sedation: Use what? Ketamine? Yes, good in peds, because lots of provider experience with ketamine -Case#2: … Continue reading

Posted in 1Beginner, 1Intermediate, EMRAP, procedural sedation, Procedures | Leave a comment

Sepsis: A review of the current therapy

By Christie Lech, MD Sepsis: A review of current therapy Please refer to EMRAP SIRS – your body’s response to various insults temperature > 38 or < 36 tachycardia, HR > 90 RR (> 20) or PaCO2 (< 32 mmHg) … Continue reading

Posted in 1Intermediate, Critical Care, EMRAP, Sepsis | Leave a comment

ACS in Women

By Christie Lech, MD Please refer to EMRAP Episode ACS in Women Younger women are at higher risk for surprising presentations of MI (compared to older, post-menopausal women) Younger (not older) women present differently than men Variables examined in the … Continue reading

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

Sickle Cell Disease Update

By Kei Ko, MD Sickle cell disease update Please refer to EMRAP episode Sickle cell Different phenotypes of sickle cell – Hemolytic  and vaso-occlusive Hemolytic Less resting hemoglobins and increased hemolysis Increased pulmonary hypertension and sudden death Vaso-occlusive Typical ED … Continue reading

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