Clik here to view.
The significance of Respiratory artifact (RA) in the ECG - Dr. Littmann
I. Characteristics of respiratory artifactRepetitive microoscillations, best seen in the inferolateral leads; rarely seen in leads I and V1Occasionally, the microoscillations are preceded by what...
View ArticleClik here to view.
Carolinas Case Conference
Diagnosis of orbital compartment syndrome can be remembered by the mnemonic: DIP (Decreased visual acuity, Increased IOP, Proptosis)Indications for lateral canthotomy: Vision loss, proptosis, EOM...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Lawson
Aortic dissection is an uncommon but important cause of chest pain in the ED. The classic presentation of severe (sudden onset, tearing/ripping chest pain that radiates to the back) 9 and the absence...
View ArticleClik here to view.
June 02nd, 2016
URIs are common in children... acute sinusitis is not. Approximately 6-8% of children with URI symptoms meet criteria for acute bacterial sinusitisDiagnostic criteria for acute bacterial sinusitis...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Lounsbury
•Consider atypical presentation for ACS in elderly patients•Risk factors for severity of acute pancreatitis include advanced age, obesity, organ failure, and pleural effusion•Can use APACHE II score...
View ArticleClik here to view.
Alcohol Use Disorder and the ED Patient: More Than Just MTF - Dr. Awad
Alcohol use is the leading cause of morbidity and mortality in the US with huge social, economic, and healthcare impacts.Alcohol Intoxication is a DIAGNOSIS OF EXCLUSION! Always consider other causes...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Lounsbury
• If even considering CVA as diagnosis, call Code Stroke• Consider mechanical thrombectomy in CVA patients who may not be IV tPA patients• Role of head trauma in IV tPA exclusion criteria poorly...
View ArticleClik here to view.
CTP Imaging for Acute Stroke: Has Its Time Finally Come? - Dr. Asimos
1. CTA is becoming the standard for acute stroke imaging, but options remain for collateral/penumbral assessment in selecting patients for endovascular reperfusion therapy 2....
View ArticleClik here to view.
Carolinas Case CONFERENCE - Dr. Mollo
All presumed septic patients should receive antibiotics before being transported to an inpatient bed.Those with demonstrating signs of septic shock should have antibiotics within one hour of...
View ArticleCarolinas Case CONFERENCE - Dr. Lawson
Case #1: Posterior MI1. Posterior MI is suggested by ECG clues in V1-V3. Look for tall broad R waves, R:S > 1, horizontal ST depressions and upright T waves2. Recall that when posterior MI occurs as...
View ArticleClik here to view.
Professional Development - Dr. Robertson
1. Short-term goals should be actionable, attainable and with fixed time constraints. 2. Long term goals have few limitations although it is best to break them up into time intervals such as...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Lounsbury
• ST elevation is an uncommon but recognized EKG finding in PE• Clinical history is often times the most significant factor in determining STEMI vs. PE• Bedside ultrasound, scrutinizing of EKG are...
View ArticleClik here to view.
August 04th, 2016
1. Short-term goals should be attainable (you can do it), actionable (there are things that would be required of you in the NEAR future to do it) and with fixed time constraints. 2. Long term goals...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Mollo
- Ultrasound has utility in almost all ED patients and should be a cornerstone of both diagnosis and aiding in resuscitation for a critically ill patient (don't forget to document your images!)-...
View ArticleAcute Altitude Sickness - Dr. Tanner
Acute Mountain Sickness (AMS) = Headache + other symptoms (nausea, fatigue, anorexia)Prevent with gradual ascent and acetazolamide (starting day prior to ascent)Tx with acetazolamide and descent...
View ArticleClik here to view.
Carolinas Case Conference - Dr. Lawson
Neck Pain:Screen neck pain patients for red flags, just like with back pain: IVDU, cancer hx, worsening pain despite supportive care, pain associated with fever, pain associated neuro sx. New...
View ArticleClik here to view.
GIB - Dr. Lawson
- Secure the airway early - Administer blood products early- Do not forget to administer all components of blood including FFP and platelets; know your institution's massive transfusion protocol if...
View ArticleHypothyroidism - Dr. Reaven
— Relatively common cause of fatigue and weight gain— Symptoms: everthing slowed down or decreased— Primary vs secondary based on TSH: primary high, secondary (and tertiary) low— Important to increase...
View ArticleClik here to view.
PE Risk Stratification - Dr. Weekes
- Hypotension: sustained or transient (<15minutes) with or without shock is considered high risk- Largest and most challenging group of PE patients are normotensive - Risk stratification options...
View ArticlePed EM: Seizures - Dr. Bryant
Some pediatric dosing important to memorize:Lorazepam - 0.1mg/kg Midazolam - 0.2mg/kg Diazepam - 0.2mg/kg Phenytoin - 20/mg/kg Fosphenytoin - 20 PE mg/kg Phenobarbital - 20mg/kg Neonatal status...
View Article