Should I give lytics in PEA? Should I give Procainamide? Is that VT?
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Author: Maninder Singh
August 14th Conference Pearls
Pearls from Kevin Menes’ regarding MCI from his experience running MCI for the 2017 Las Vegas Mass Shootings
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EKG of the block: Chest Pain and HTN
41 y/o M PMHx HTN, HLD, HFrEF p/w chest pain and BP of 198/137. What do you do next? Hint…Repeat EKGs…
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Diagnostic Accuracy of the Aortic Dissection Detection Risk Score (ADD-R) + D-Dimer for Acute Aortic Syndromes
Sam Du, PGY-3 reviews the ADvISED Study on the use of Aortic Dissection Detection Risk Score and D-dimer to risk stratify for acute aortic syndromes
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Transfusion Medicine
Sam Du, PGY-3 talks about the preparations/specific indications for transfusions of pRBC, platelets, and plasma as well as the potential risks of transfusions
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Preventing desaturation during ED intubation
Review By Maha Salama: Preoxygenate your patients with the head of bed elevated and use apneic oxygenation during RSI with NC at 15L/min
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Optimal tPA dose/duration using US guided catheter directed thrombolysis for intermediate risk PE
Review by Nimish Bhatt: Lower doses and shorter infusions of tPA via USCDT a/w improvement in RV:LV diameter and reduction in clot burden at 48 hours
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Should you use fibrinolysis for patients with intermediate-risk PE?
Review by Maha Salama: Prompt fibrinolysis can reduce risk of hemodynamic decompensation/death in intermediate risk PE but need to weigh against increased risk of bleeding.
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Simplified Pulmonary Embolism Severity Index VS Hestia Criteria for discharge of low risk PE
Review by Allison Lee: Both sPESI and Hestia are valid for prognostic accuracy but Hestia has more subjective criteria.
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Blood Pressure Target in Intracranial Hemorrhage
Review by Maha Salama: Aggressive BP lowering in ICH can cause harm
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