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From Ordinary to Extraordinary - Dr. Pearson
Post-Intubation Hypotension: 15% higher in-hospital mortalityPredictors:Pre-intubation shock index (SI ≥ 0.8)*Chronic renal diseaseIntubation for acute respiratory failurePush-dose (Bolus-Dose)...
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GU & Pelvic Trauma - Dr. Gibbs
Suspect GU injury (often occult)Look for hematuriaStability permitting, evaluate the GU tract in a retrograde fashionBecome proficient with ED procedures (retrograde urethrogram & cystogram)Know...
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Carolinas Case Conference - Dr. Lounsbury
• Avoid diagnostic momentum from the prehospital setting and always perform your own cervical spine evaluation.• Patients at risk for cervical spine injuries have a high-impact mechanism (diving,...
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Rabies - Dr. M. Zeller
Why is rabies important? Rabies has the highest case fatality rate of any infectious disease, and it is entirely preventable. Although it is rare in the United States, it is very common in the...
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May 04th, 2017
When managing patients with AG Metabolic Acidosis:Same general resuscitation principles applyWatch your patient’s respiratory rateBroaden your differential for unknown source of acidosisDon’t just get...
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Contraceptive emergencies and emergency contraception - Dr. Simonis
ASK, INFORM, and OFFERAsk – reproductive aged females about unprotected intercourse and desire for pregnancyInform – about risk of pregnancy w/o contraception, and that emergency contraception is...
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Septic Emboli - Dr. Raper
When should I think about infective endocarditis and septic emboli?-Consider in patients who raise your suspicion for sepsis and have any of these risk factors:age>60IVDAPoor...
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Carolinas Case COnference (Dizzy) - Dr. Cox
“You get to use the word ‘dizzy’ once.” Andrew Asimos Categories of DizzinessVertigo= Perception of movementDue to dysfunction of an aspect of the visual, vestibular or proprioceptive systemsNeed to...
View ArticleUpper GI Bleed in Pediatrics - Dr. Walker
1. Signs and symptoms of an Upper GI bleed in the pediatric patient -most common presentation is hematemesis -melena also common presentation -many things mimic GI...
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tPA for CVA: Reconciling the ACEP, FDA, and ASA Guidelines - Dr. Asimos
The controversy regarding IV tPA treatment for stroke cannot be resolved with the current evidenceRecent FDA labeling changes and potential conflicts between the ACEP and the AHA/ASA policy...
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Carolinas Case
Case 1 -- Hypotensive Inferior MI* Mmm bread and butter... Avoid nitroglycerin in the inferior MI. Preload!* Hypotension prior to RSI drugs? Bad. Crystalloid not helping? Pressors.* Make your FIRST...
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Case COnference - Dr. THomas
- Child presents in cariogenic shock = think myocarditis- There are times Circulation must be addressed before Airway to maximize circulation prior to intubation- Think beyond tachycardia, symptoms of...
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A-Fib w/ RVR - Dr. Okonkwo
1) Afib RVR is often triggered by the same etiologies as sinus tachycardia. Before treating the arrhythmia, treat the most likely etiology.2) In a person with normal cardiac function and structure,...
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Bed Bugs - Dr. Raper
Bed Bugs- Do not analyze a rash and simply call it bed bugs. There is a differential--includes scabies, fleas, bat bugs, dermatitis herpetiformis- Bite mark: occasionally linear formation where...
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Beyond Podcasts: Quick tips to keep real reading efficient - dr. Reynolds
1. Read with a specific focused question in mind.2. Start by looking at the scientific abstract: Does the objective align with your question? Did the study answer its stated question?3. Use the...
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Carolinas case conference - Dr. C. COx
Right Heart FailureSymptoms of RV failure are VAGUE; If you do not consider it, you will not diagnosis it! RV failure is rare… but bad. If RV failure requires pressors, mortality can increase to...
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Toxicology: It's not simple heroin anymore - Kerns
Fentanyl and fentanyl analogues are the most common current heroin adulterantsReversal of fentanyl and fentanyl analogues may take large doses of naloxoneDC patients with naloxone rescue...
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LVAD EMERGENCIES - Dr. Erin Noste
LVAD patient in ED = evaluate for (LVAD)2 L = Look, listen, and feel the LVAD device- Look: Connection & controller, green light with no alarm = good sign- Listen: For the hum of the LVAD, a...
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Idiopathic Intracranial Hypertension - Dr. A. Dozois
In the right clinical context, decreased visual acuity + papilledema = BAD. These patients need workup including LP and MRI in the ED, and urgent referral to ophthalmology (for optic nerve sheath...
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Carolinas case conference - Dr. S. Pecevich
Internal HerniasWith patients status post gastric bypass, beware of the internal hernia and have low threshold to consult gastric bypass surgeon in abdominal pain!CT scan may fail to reveal internal...
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