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Anaphylaxis

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Anaphylaxis is a severe, life-threatening reaction requiring rapid recognition and treatment.
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Journal Review

Platelet Transfusion in Spontaneous Intracerebral Hemorrhage on Antiplatelet Agents (PATCH Trial)

Filed Under: Tags: , , , , , August 4th, 2016 Leave a Comment

Spontaneous, non-traumatic, intracerebral hemorrhagic strokes accounts for 11-22% of incidence strokes but 50% of all stroke deaths. There are about 2 million of these bleeds a year world-wide. Many patients with these types of bleeds and strokes in general will be on anti platelet agents like aspirin and clopidogrel. Anti-platelet therapy has been shown to increase incidence of and worsen outcome of spontaneous intracerebral hemorrhage.
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Post-Intubation Sedation and Analgesia

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ED initiation of analgesia and consideration for sedation in mech ventilated patients is critical in preventing long-term complications
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Get Better Quickly, Rob Rogers!

Random #FOAMed Tags: Anand Swaminathan, MD One Comment

Earlier this week, I got a text from one of my mentors, Rob Rogers (@EM_Educator):

This would be at least a slightly anxiety provoking EKG on a shift but was much more worrisome when I saw the name at the top. Fortunately, Rob was quickly taken to a cardiac catheterization lab and PCI was successfully performed.
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Journal Review

Focused Transesophogeal Echo in the Emergency Department

Filed Under: Tags: , , , , July 28th, 2016 Leave a Comment

Cardiac ultrasound is an established diagnostic modality in Emergency Medicine (EM). We use it to diagnose pericardial effusions (medical and traumatic), to discern the etiology of shock, to evaluate for congestive heart failure, and to guide treatment and prognosis in cardiac arrest. Nonetheless, the trans-thoracic approach (TTE) to cardiac ultrasound has its limitations: poor windows (in the trauma patient,
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Journal Review

Single Dose Dexamethasone in Adult Asthma Exacerbations

Filed Under: Tags: , , July 21st, 2016 Leave a Comment

Acute asthma presentations account for more than 2.1 million Emergency Department (ED) visits annually. In the US, 8.4% of the population is affected by the disease. Current guidelines from the National Heart, Lung, and Blood Institute recommend a minimum of 5 days of oral prednisone to treat moderate to severe asthma exacerbations (NHLBI Guidelines 2007).
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Hemodynamically Unstable Pulmonary Embolism

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This posts delves into diagnosis + management of HD unstable (Massive) PE with a focus on thrombolytics.
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Journal Review

Ketamine for Rescue Sedation in Severe Behavioral Disturbance

Filed Under: Tags: , , , , July 14th, 2016 Leave a Comment

Sedation of the agitated and aggressive patient is a frequently encountered problem in the Emergency Department (ED).  Whether the etiology of the agitation is intoxication, psychiatric, or organic, these patients require quick and efficient chemical sedation because they are both a danger to themselves and others in the ED.  The majority of these patients are successfully sedated with antipsychotics or benzodiazepines (Downes 2009).
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