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An ECG with a hidden flag...

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Update: This AMA will be happening Friday, December 12th from Noon-1:30pm EST.

We're very pleased to announce that our next
Ask Me Anything will be with Mike Stone, MD, RDMS. Dr. Stone is the Division Chief of Emergency Ultrasound and the Emergency Ultrasound Fellowship Director at Brigham and
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[Editor's note: For a limited time, Tintinalli's is making their full chapter entitled "Chest Pain: Cardiac or Not?" available to emDocs readers.]

Low-risk chest pain. Examining and challenging "standard of care."
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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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