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The emDOCs Podcast returns with acute limb ischemia. What should you look for on history and exam, what tests are necessary, and how should you manage acute limb ischemia?

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Dr. Tannenbaum covers a challenging trauma case with spine injury.
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What do emergency clinicians need to know about kratom?
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SVT Treatment Options

If unstable -> cardioversion; may attempt modified Valsalva while prepping for cardioversion

 

Stable -> modified Valsalva while prepping meds: adenosine, CCB, or BB

 

CCB has similar efficacy and fewer side effects compared to adenosine

 

If using adenosine, go with 12 mg; tell patient about expected symptoms (and that means it’s working!)

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