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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    FOAMed Resources Part VI: The Fundamentals

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    Today we cover Part VI of the FOAMed series. This post provides resources on core, fundamental knowledge for EM to get you started. A strong foundation allows growth and development, and these resources provide that and so much more.
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    Propofol Infusion Syndrome (PRIS)

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    Propofol Infusion Syndrome - a rare complication that you should be aware of when accepting your next ICU transfer patient.
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    • PEM Playbook, practice updates

    PEM Playbook – Big Labs, Little People: Troponin, BNP, D-Dimer, and Lactate

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    It’s a busy shift. Today no one seems to have a chief complaint. Someone sends a troponin on a child. Good, bad, or ugly, how are you going to interpret the result? And while we’re at it – what labs do I need to be careful with in children –
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    • practice updates

    The Emergency Department Management of Posterior Epistaxis

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    On first glance, you observe active bleeding from the bilateral nares. Direct pressure has obtained hemostasis. What is your next step? Topical vasoconstrictors? Nasal packing? Can this patient go home, or does he need to be admitted? Let’s discuss a few key points about the management of posterior epistaxis.
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    • practice updates

    The motorcycle accident patient: ED considerations + management / Pearls & Pitfalls

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    Motorcycle accidents can be deadly. Riders are at high risk of injury due to the dangers of riding a motorcycle, which are vastly different from other vehicles. This post is full of pearls and pitfalls on motorcycle crashes and how to care for these patients.
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    • practice updates

    Lyme disease ED Presentations / Management Pearls and Pitfalls

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    The purpose of this article is to present a discussion on Lyme using a case based format. The goal is to expand the reader’s differential to include Lyme disease in a multitude of cases, provide tips/tricks for diagnosis and treatment, discuss the role of prophylaxis, and address Chronic Lyme Disease.
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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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