emDOCs Podcast – Episode 122: Performing Under Pressure
How do you calm the chaos and perform under pressure?
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FOAMed
Journal Feed Weekly Wrap-Up
Journal Feed covers combination inhalers for mild asthma, treatment of cervical artery dissection, and the shock index in trauma.
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EM@3AM: Bradypnea
A 53-year-old male with hyperlipidemia and cervical stenosis presents with dyspnea, which has been worsening since his cervical spinal fusion 6 days ago. He states he is very fatigued and feels as though he cannot get a deep breath. Vital signs revealed a BP of 136/76, HR of 88, RR of 9, SpO2 of 94% on room air, and a temperature of 97.6 F. On physical exam, the patient is lethargic, has nasal flaring, and is using accessory muscles to breathe. Lung sounds are clear. On cardiac exam, there is normal rate and rhythm without murmur, rubs, or gallops. His capillary refill is 2 seconds. His surgical incision looks clean and without any signs of infection. An ABG is drawn and reveals pH of 7.53, pCO2 of 58, and PO2 of 83. Chest X-ray shows some mild atelectasis but no acute infiltrates. What is the diagnosis?
ECG Pointers: Pain Free but Not Worry Free
What should you be worried about with the patient who is now chest pain free but has biphasic T waves in V2 and V3?
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Journal Feed Weekly Wrap-Up
Journal Feed covers CAP antibiotics, MAP goals in elderly patients with septic shock, and a decision rule for head CT.
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US Probe: Assessing Venous Congestion – The VExUS Approach
What is the VExUS Approach to evaluating for venous congestion?
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EM@3AM: Systemic Lupus Erythematosus
A 23-year-old female presents to the ED with slurred speech, left lower leg weakness, and confusion. A friend is with her and states that the patient does not take any medications, has no past medical history, but has been complaining of various symptoms over the past year.
On exam, the patient has 0/5 strength in her left lower extremity, has slurred speech, and is unable to answer most of your questions. You code stroke the patient. CT head/CTA head and neck are unremarkable, but MRI brain reveals stroke.
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ECG Pointers: Well, it seems as though your colon is trying to kill your coronaries
Dr. Tannenbaum covers a case of GI bleed and ST segment changes.
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ToxCard: Pyrethrin and Pyrethroid Toxicity
ToxCards returns with pyrethrin and pyrethroid toxicity.
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emDOCs Podcast – Episode 121: Ebola Virus Disease
Jess Pelletier and Brit Long cover Ebola: when should you suspect this, what is the evaluation, and what is the treatment?
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