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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    Articles

    The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls

    • 3 Comments
    Third trimester pregnant patients are not seen commonly in the emergency department, but when they are, they have the potential for severe complications such as hemorrhagic shock. This article reviews the most serious causes of bleeding in the third trimester of pregnancy and also discusses management options.
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    Heparin Induced Thrombocytopenia (HIT): An ED-Focused Review of the Literature

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    When was the last time you reviewed the literature regarding Heparin-Induced Thrombocytopenia (HIT)? If it's time for a refresher and a few tips regarding ED management, the following post is for you.
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    • FOAMED, practice updates

    Recent Elective Abortion

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    Patients who undergo elective abortions may present to the emergency department for various symptoms and complications due to their recent procedures. This is a brief article of the complications of elective abortion. Workup and management of these complications are also reviewed.
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    • practice updates

    Ophthalmologic Medications: Pearls & Pitfalls for the ED

    • 6 Comments
    Ophthalmologic medications carry a wide variety of indications and effects. The caps of the bottles have thus been color-coded to reflect these differences. Read this primer for a thorough run-down of all these medications and their uses.
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    • FOAMED, practice updates

    Unstable Sepsis: Airway First? Not Always

    • 4 Comments
    Intubation, especially in the septic and critically ill patient, can, by itself, cause hemodynamic abnormalities and/or hypoxemia and hypercapnea. In some situations, it may be important to make sure that the patient is adequately prepared for intubation, both from hemodynamic and pre-oxygenation standpoints. This is a brief review of some
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    • FOAMED, In the Literature, practice updates

    Controversies in Pulmonary Embolism Imaging and Treatment of Subsegmental Thromboembolic Disease

    • 5 Comments
    Pulmonary embolism (PE) is classically a life-threatening diagnosis, often considered in the work-up of patients with chest pain or dyspnea. Initial mortality rates of missed, untreated PE has been quoted as high as 26%, based on a 1960 study. This disease is common, with 400,000 patients affected with nonfatal PE
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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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