This week we discuss more pearls from our morning report conference on APE, SAH and caustic ingestions.
Episode 142.0 – Morning Report Pearls IV
Show Notes
Take Home Points
- In patients with APE, give high-dose nitro to decrease after load and preload quickly. 400-500 mcg/min for the first 4-5 minutes is my standard approach
- Consider DSI to facilitate pre-oxygenation. Ketamine is your go to drug here
- A NCHCT performed within 6 hours of symptom onset is extremely sensitive for ruling out SAH but, nothing is 100%. If you’ve got a high-risk patient, you should still consider LP
- Patients with caustic ingestions can have rapidly deteriorating airways. Prepare early and be ready to take over the airway at a moments notice
Read More
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The SGEM: Thunderstruck (Subarachnoid Hemorrhage)
Friedman BW. Managing Migraine. Ann Emerg Med 2017; 69(2): 202-7. PMID: 27510942