Core EM: Ventricular Tachycardia
A great post by Core EM – Bringing core EM content to anyone, anywhere, anytime. Learn the ins/outs of ventricular tachycardia by Dr. Anand Swaminathan, MD (@EMSwami)
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From @EMSwami
EM Mindset: Anand Swaminathan – Lessons from John Hinds
Continuing with our EM Mindset series, here is another great piece by Dr. Anand Swaminathan to kick off your week. Enjoy!
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Cardiogenic Shock
Click here to view Tintinalli’s chapter on Cardiogenic Shock via Access Emergency Medicine!A 55-year-old man arrives via ambulance in respiratory distress. Paramedics attempted to start an intravenous line but the patient is altered and pulled it out. They were also unable to keep an NRB mask on him. His vital signs are:
HR: 132, BP: 71/38, RR: 35, O2Sat: 83%
A quick bedside ultrasound reveals numerous B lines in both lung fields and markedly depressed left ventricular function. Based on your quick evaluation, you determine that the patient is suffering from cardiogenic shock. You are familiar with treatment of acute decompensated heart failure (ADHF) but are unclear on the management priorities and appropriate treatments in cardiogenic shock. […]
IV Contrast Myths
“Premedication with corticosteroids has never been shown to reduce the risk of moderate or severe adverse drug reactions”
We’re thrilled to present another game-changing writeup from Anand Swaminathan, MD MPH (@EMSwami), this time on the conundrums of shellfish allergies and utility of premedication in patients receiving IV contrast.
Myths in DKA Management
Anand Swaminathan, MD MPH (@EMSwami) addresses urban legends in DKA management, including VBGs vs ABGs, when to replete potassium, bicarb administration, and insulin boluses.“The bolus insulin group had longer lengths of stay and a 6-fold increase in hypoglycemic episodes”
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Epinephrine in Cardiac Arrest
“It’s time to re-examine this recommendation”
Epinephrine in cardiac arrest: helpful for ROSC, but maybe not so much for good neurological outcomes. Anand Swaminathan, MD MPH takes a thought-provoking look at the historical evidence behind this practice, as well as at newer evidence that calls its benefit into question.
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Furosemide in the Treatment of Acute Pulmonary Edema
In this excellent article, Anand Swaminathan, MD, MPH dissects the evidence to challenge common perceptions regarding the utility of furosemide in patients with APE.“The continued central role [loop diuretics] play highlights a lack of understanding of the underlying pathophysiology of the disease”
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