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em@3am

EM@3AM: Pulmonary Hypertension

A 65F presents to your ED with chest pain and shortness of breath. Her symptoms have been going on for several months and have been progressively worsening. She states that she has felt this way since she was diagnosed with a “blood clot in her lungs” several months ago. VS include T 37.5C, HR 103, RR 22, Pox 89% on RA. What should you consider, and what’s your next step in evaluation and treatment?

FOAMED

EM Educator Series: MALA exists and is bad for you!

This edition of the EM Educator Series covers a difficult topic: metformin-associated lactic acidosis (MALA). We start with a case, followed by key considerations and resources. As an added bonus, we have an educational download available as well!