Monthly Archives: February 2013

Pseudoaxiom – epinephrine in the digits

By Will Fleischman, MD Please refer to SMARTEM Axiom – noun – A statement or proposition that is regarded as being established, accepted, or self-evidently true. Pseudoaxiom – A false axiom passed down as anecdote, tradition, or simple repetition from … Continue reading

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ACS Updates

By Amy Sanghvi, MD Please refer to EMRAP Updated UA on NSTEMI guidelines. Focused update from Guidelines from 2007. Done to focus on new issues relative to antiplatelet medications: Ticagralor and Prasugrel (Effient). Many using Prasugrel instead of clopidogrel. P2Y12 … Continue reading

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

Sick Baby: Undifferentiated infant under 3 months

By Eduardo LaCalle, MD Please refer to EMPEM According to the podcasters, 10% of neonates with fever will have a serious bacterial infection (SBI), so full workups indicated in all these patients Important physiologic considerations include changes in circulatory system … Continue reading

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Intussusception

By Eduardo LaCalle, MD Please refer to EMPEM Epidemiology: Incidence (in UK) 1.6 – 4/1000 children Seen more commonly in boys, especially with increasing age Represents about 25% of emergent abdominal surgeries in children < 5 years   Pathophys: Generally … Continue reading

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Ventilator Management

By Jake Isserman, MD Please refer to EMRAP An asthmatic patient had failed NIV and been intubated.  The vent alarm was continuously sounding—for high peak pressure. He was sating 100%.   The team had been adjusting the settings and had … Continue reading

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Posterior MI: The Dark Side of the Moon

Goreselen et al. Neth Heart J. 2007 January; 15(1): 16–21. By Vincent Roddy, MD Background: True posterior MI is difficult to recognize bc the leads of the standard EKG are not a direct representation of the area involved.   Only with indirect changes … Continue reading

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

Hyperglycemia

By Christie Lech, MD Please refer to EMRAP DKA can occur in type I and type II diabetics. A hyperglycemic patient that is not ketotic, not in DKA, is a patient that we DO NOT need to treat for an … Continue reading

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Cellulitis and MRSA

By Christie Lech, MD Please refer to EMRAP Cellulitis, without the presence of an abscess, it is a disease usually caused by Strep species. Moran treats cellulitis as MRSA if there is the presence of folliculitis and/or if he is … Continue reading

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The Utility of Adding Expiratory or Decubitus Chest Radiographs to the Radiographic Evaluation of Suspected Pediatric Airway Foreign Bodies

Please refer to Annals of Emergency Medicine. Vol. 61. No 1. PP 19-26. Jan 2013. Brown et al. By Brandy Ferguson, MD Study Objective: To compare standard chest radiographs (lateral or PA or AP) with and without additional views (expiratory … Continue reading

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Post Cardiac Arrest Syndrome: a review of therapeutic strategies

Stub D, Bernard S, Duffy SJ, Kaye DM. Circulation. 2011 Apr 5; 123(13):1428-35   By Felipe Teran, MD   Article capsule The significant morbidity and mortality associated with patients who survive to an Out-of-Hospital Cardiac Arrest (OHCA) has driven the … Continue reading

Posted in 1Intermediate, Cardiology, Critical Care, Hypothermia, Resuscitation | Leave a comment