Category Archives: EMRAP

TCA Overdose

By Christie Lech, MD Please refer to EMRAP Classically, you see a wide QRS complex and a tall R wave in aVr (elevation in the terminal 40 msec of aVr) Treatment of your sick, dying TCA overdose patient – lots … Continue reading

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

Pseudoseizures AKA PNES

By Christie Lech, MD Please refer to EMRAP PNES – psychogenic nonepileptic seizures Pseudoseizure – non-epileptic seizure PNES is characterized by neurological disturbances i.e. motor, sensory, autonomic, cognitive, emotional that may mimic epilepsy, but there is no CNS dysfunction Incidence … Continue reading

Posted in 1Beginner, EMRAP, neuro, psych | Leave a comment

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

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

Posted in 1Advanced, EMRAP, Vent | 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

Posted in 1Beginner, EMRAP | Leave a comment

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

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

Dangerous Pediatric Fevers

By Christie Lech, MD Refer to EMRAP Herpes Simplex Virus Infection Infection in neonates is usually HSV-2, but also can be HSV-1 and can present with fever, seizures, and possibly cutaneous manifestations (i.e. vesicles). The mortality is high, and there … Continue reading

Posted in 1Beginner, 1Intermediate, EMRAP, pediatrics | Leave a comment

The Crashing Neonate

By Christie Lech, MD Refer to EMRAP Unbundle babies. Get a good blood pressure. Neonates will not present with meningismus with meningitis Get a line! Think IO. Or a scalp vein. Get the neonates weight. Hct are high when babies … Continue reading

Posted in 1Advanced, 1Beginner, 1Intermediate, EMRAP, pediatrics | Leave a comment

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

Posted in 1Beginner, Board Review, EMRAP, Trauma | Leave a comment

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