Category: Cardiology
Keywords: Cyanide, itroprusside, hypotension (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Venous, catheter, subclavian (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Escharotomy, burn, ischemia (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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0707141915_escharotomy.jpg (5 Kb)
Category: Critical Care
Keywords: Intubation, ventilation, VAP, bed (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Antiobiotics, Sepsis (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Lactate, Sepsis, Infection (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Obtain serial lactate levels in ED patients with infection * Elevated serum lactate is associated with an increased risk of death in critically ill patients with infection * An initial lactate level > 4.0 mmol/l is significant and, in some series, is associated with a mortality of approximately 40% * Obtain serial venous lactate measurements every 3-4 hours * If serial levels remain > 4 mmol/l, or rise, be more aggressive with resuscitation Reference: Trzeciak S, et al. Serum lactate as a predictor of mortality in patients with infection. Inten Care Med 2007;33:970-7.
Category: Critical Care
Keywords: HIV, Lactic, Acidosis (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Transfusion, Lung, Injury (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Pacer, Cordis, transvenous (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Airway Management
Keywords: Air, Embolism, Catheter (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Airway Management
Keywords: Plateau, Peak, Pressure, airway (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Critical Care
Keywords: Neuropathy, steroids, sepsis, neuromuscular (PubMed Search)
Posted: 7/14/2007 by Mike Winters, MBA, MD
(Emailed: 7/8/2007)
(Updated: 10/31/2024)
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Category: Vascular
Keywords: D-Dimer, Pregnancy (PubMed Search)
Posted: 7/9/2008 by Rob Rogers, MD
(Emailed: 10/31/2024)
(Updated: 10/31/2024)
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D-Dimer levels are known to be elevated in pregnancy. But how high is too high and can this test be used in the workup of VTE in pregnant patients?
Recent literature indicates that D-dimer levels in each of the three trimesters are approximately 39% higher: 700, 1000, and 1400 ng/dL for each trimester (normal cutoff 500 ng/dL). So, figure out what trimester your patient is in and use the corresponding D-Dimer level for that trimester.
Hernandez J, Hambleton G, Kline JA. D-dimer concentrations in normal pregnancy. Acad Emerg Med 2004;11:526-527
Category: Critical Care
Posted: 3/11/2009 by Mike Winters, MBA, MD
(Emailed: 10/31/2024)
(Updated: 10/31/2024)
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Oxygenation goals
Category: Toxicology
Keywords: hydrofluoric acid, burn, chemical burn, HFA, calcium gluconate (PubMed Search)
Posted: 9/5/2010 by Dan Lemkin, MS, MD
(Emailed: 10/31/2024)
(Updated: 10/2/2010)
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Hydrofluoric acid is a weak acid used primarily in industrial applications for glass etching and metal cleaning/plating. It is contained in home rust removers. Although technically a weak acid, it is very dangerous and burns can be subtle in appearance while having severe consequences.
Wilkes G. Hydrofluoric Acid Burns. Jan 28, 2010.
http://emedicine.medscape.com/article/773304-overview
*Extracted from emedicine article.
Wilkes G. Hydrofluoric Acid Burns. Jan 28, 2010.
http://emedicine.medscape.com/article/773304-overview
Category: Visual Diagnosis
Keywords: fever, cough, alcoholic (PubMed Search)
Posted: 5/7/2012 by Rob Rogers, MD
(Emailed: 10/31/2024)
(Updated: 10/31/2024)
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An alcoholic patient presents with a cough, fever, and very foul smelling breath (worse than usual)
What's the diagnosis? And what are the risk factors?
Lung abcess
Risk factors for a lung abscess include:
case compliments of our very own Zac Dezman
Category: Visual Diagnosis
Posted: 1/14/2013 by Haney Mallemat, MD
(Emailed: 10/31/2024)
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50 year-old male with cough and dyspnea. What's the diagnosis?
Here's your answer: http://www.youtube.com/watch?v=Z4yxqRoKX04&feature=youtu.be
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Category: Pediatrics
Posted: 3/9/2013 by Rose Chasm, MD
(Emailed: 10/31/2024)
(Updated: 10/31/2024)
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2012 PREP Self-Assessment, Pediatrics Review and Education Program
Category: Toxicology
Keywords: octreotide, sulfonylurea (PubMed Search)
Posted: 4/12/2013 by Bryan Hayes, PharmD
(Emailed: 10/31/2024)
(Updated: 4/13/2013)
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Methods: A large retrospective case series evaluated 121 children under 6 years old with hypoglycemia from a sulfonylurea ingestion.
Results:
Authors' Conclusion: Octreotide administration decreases the number of hypoglycemic events and increases blood glucose concentrations in children with sulfonylurea ingestion.
Dougherty PP, et al. Evaluation of the use and safety of octreotide as antidotal therapy for sulfonylurea overdose in children. Pediatr Emerg Care 2013;29(3):292-5.
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Category: Infectious Disease
Posted: 4/12/2013 by Andrea Tenner, MD
(Emailed: 10/31/2024)
(Updated: 10/31/2024)
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General Information:
-As of April 5th, 14 confirmed cases of a new influenza A virus (H7N9) have occurred in China. Six of those have died.
-Presumed transmission via infected poultry in bird markets, and thus far no person-to-person transmission has occurred.
-Likely susceptible to oseltamavir or inhaled zanamivir
Area of the world affected:
-China
Relevance to the US physician:
- Suspect in patients with a respiratory illness and appropriate travel history.
- Refer to CDC within 24 hours if test positive for flu A but cannot be subtyped
- If H7N9 is suspected, patients should be under droplet and airborne precautions
Bottom Line:
No human-to-human transmission from H7N9 thus far, but the possibility exists. Any unsubtypeable influenza A patient should be placed on droplet and airborne precautions and oseltamavir or zanamivir started immediately.
University of Maryland Section of Global Emergency Health
Author: Andi Tenner, MD, MPH
http://www.who.int/csr/don/2013_04_04/en/index.html
http://emergency.cdc.gov/HAN/han00344.asp