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Acute heart failure exacerbation disposition

Not all patients require admission

 

Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

 

Elevated troponin and serum Cr associated with worse outcomes

 

Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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LA Peds Ready Podcast: Special Pathogens – Part 2

A critically ill infant arrives in respiratory failure, but a key exposure history raises concern for something beyond routine influenza. In Part 2 of our Special Pathogens series, we work through a suspected H5N1 avian influenza case, from initial stabilization and protecting the healthcare team to diagnostic testing, treatment, post-exposure prophylaxis, and coordination with public health.

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