US Probe: Left Ventricular Ejection Fraction Semi-Quantitative Estimation
How can you estimate LV function using ultrasound?
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FOAMed
emDOCs Podcast – Episode 128: Intubation EBM Updates Part 2
We’re back with Part 2, where we’ll cover induction medications, paralytics, VL vs. DL, using the bougie, confirming ETT placement, and post intubation sedation.
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EM@3AM: Cat-Scratch Disease
A 43-year-old male presents with swelling to the right armpit. He also endorses a small wound to his right forearm, fatigue, mild muscle aches, and low-grade fever. On exam he has right axillary lymphadenopathy and a small, non-tender, slightly raised erythematous lesion to the right forearm with no overt evidence of extensive cellulitis. The patient states that he was playing with the neighborhood cat a little over a week ago. He believes the cat bit him on the arm before running off. What is the diagnosis?
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ToxCard: Medetomidine
What do you need to know about medetomidine?
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emDOCs Podcast – Episode 127: Intubation EBM Updates Part 1
Today we start a series on EBM updates for intubation. In Part 1 we cover predicting difficult BVM/intubation/cricothryotomy, physiologic factors associated with peri-intubation decompensation, preoxygenation, and apneic oxygenation.
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EM@3AM: Genitourinary Trauma
A previously healthy 32-year-old male presents to the ED via EMS following a high-speed motor vehicle collision on the interstate. The lower part of his abdomen hit the steering wheel. He reports significant pain in the perineum and groin. He has the urge to urinate but is unsure if he is able to. Vital Signs on arrival to the ED: HR 110, RR 18, blood pressure of 120/80, temperature (oral) of 99.1F, with an oxygen saturation of 99% on room air. On secondary survey, the patient has mild diffuse lower abdominal tenderness. His pelvis is stable. There is no testicular swelling or pain; however, you observe blood at the urethral meatus.
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Medical Malpractice Insights: How to Miss a PE
Medical Malpractice Insights covers a case of missed PE.
Medical Malpractice Insights: How to Miss a PE Read More »
emDOCs Podcast – Episode 126: Upper GI Bleeding Evidence and Controversies Part 2
We’re back with Part 2 on upper GI bleeding. Today we cover endoscopy, other interventions for bleeding cessation, intubation, and risk scores.
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Journal Feed Weekly Wrap-Up
Journal Feed covers antibiotics for cirrhotics with upper GI bleed, ondansetron for discharged pediatric patients, and the STANDING algorithm for vertigo.
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EM@3AM: Tachycardia
A 70-year-old male with presents with 5 days of fever and 3 days of anuria and malaise. He also notes worsening abdominal distention and shortness of breath. He found and removed a tick 3 weeks ago and another one 1 week ago. Labs reveal WBC 2,200 cells/microL, HGB 11.2 g/dL, Plt 21 × 109/L, BUN 86 mg/dL, Creatinine 6.8 mg/dL, AST 350 U/L, ALT 119 U/L.
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