Monthly Archives: December 2012

Pediatric UTI

By Kei Ko, MD Please refer to SMARTEM Part I Original date: Jan. 23, 2011 1993 – Practice guidelines published and it suggested <3 month age group, a full sepsis workup and <1 month admitted with iv abx, and 1-3 … Continue reading

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SMART SAH: A Picture is Worth a Thousand LPs

By Will Fleischman, MD Please refer to SMARTEM Overview: Headaches and SAH: Headache is chief complaint for 3% of ED visits 3-4% with grossly normal neuro exam will have serious pathology roughly 1% SAH according to Perry et al, CJEM … Continue reading

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

RLQ Pain in Pregnancy

By Eduardo Lacalle, MD Please refer to ERCAST Interview by Rob Orman with Ingrid Lim (UCSF/Kaiser SF). Note: first half of podcast regards abdominal pain in pregnancy, second half is unrelated material. Diagnostic questions considered in this discussion: 1)    Is … Continue reading

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Trauma and the Primary Survey

By Felipe Teran, MD Please refer to EMRAP: C3 Project  ABCDE done simultaneously (unlike ATLS) One person will run the trauma and should be standing at the foot of the bed Primary survey: goal is to identify the life threatening … Continue reading

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Matt and Mike’s Podcast on Hip Ultrasound

By Felipe Teran, MD Please refer to Ultrasound Podcast  In this episode Matt and Mike discuss the utility of US for: -       Diagnosis of hip effusion -       US guided hip aspiration -       US guided hip injection US guided hip aspiration … Continue reading

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A confirmation of prejudices: chloride and pressure poisoning

By Avital Porat, MD Please refer to EMCRIT We should be thinking more of our fluids and not just grab normal saline Normal saline is very acidic – as it has equal amounts of Cl and Na Balanced solutions: Na/Cl … Continue reading

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Mind of a Resuscitationist: STOP POINTS!

By Amy Sanghvi, MD Please refer to EMCRIT Your patient is in shock with a low MAP and on 2 pressors, or you about to start a second pressor agent, have second pressor STOP POINTS: Think for a second! Septic … Continue reading

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Ultrasound for Fluid Tolerance in Spontaneously Breathing Patients

By Christie Lech, MD Please refer to EMCRIT If you have a mechanically ventilated patient, and they are on 10 cc/kg of tidal volume for your IVC check.  If the IVC gets larger by 16-18%, the patient will be fluid … Continue reading

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LBBB and Sgarbossa Criteria

By Christie Lech, MD Please refer to EMRAP Current recommendations for acute reperfusion treatment: Patient presenting with chest pain or other concerning symptoms Patient with a STEMI on EKG, a STEMI equivalent i.e. posterior MI, new or presumed new LBBB, … Continue reading

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