Osteomyelitis: Making the Diagnosis
A primer on the presentation, evaluation, diagnosis, and management of osteomyelitis in the Emergency Department.
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Amiodarone vs Procainamide for Stable VT
Case Scenario:
A 38-year-old male with a history of hypertension and an unknown heart defect status post repair in infancy presents to the Emergency Department with acute onset chest pain, dyspnea, and diaphoresis. He had a similar episode at another hospital 1 month prior that resolved after “some medication.” He denies drug use.
An EKG is obtained in triage, and is shown below.
The patient’s blood pressure is 120/70. He is alert and oriented, and speaking in full sentences although dyspneic with respiratory rate in lower 20s and O2 saturation 98% on RA.
Clinical Question: Which pharmacologic agent is most effective for termination of monomorphic ventricular tachycardia?
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Aggressive BP Management in Patients with ICH
“The patient was hypertensive with SBP in 220s…a stat CT scan revealed a large intraparenchymal hemorrhage”
What’s the goal BP in a patient with ICH? How quickly should that target be reached? What’s the evidence? Ben Cooper, MD addresses these questions and more in this review of the recent literature.
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