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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. Lactated Ringer (LR) and 0.9% To assess the clinical impact and relevance of these concerns, Alwang et al.

ALS
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Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?

Dr. Smith's ECG Blog

A prehospital ECG was similar to the first ED ECG, which is shown below. Here is her initial ED 12-lead ECG: There is atrial fibrillation with a rate of approximately 114. It is most commonly due to demand ischemia, not due to ACS! If it were ACS, what reperfusion options were available? 911 was called. What happened?

ACS
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emDOCs Podcast – Episode 123: Sympathetic Crashing Acute Pulmonary Edema

EMDocs

Causes: ACS, arrhythmia, valvular dysfunction, infection, nonadherence to meds, myocarditis, volume overload. ACEP level C recommendation that while there is no specific timing for diuretic therapy, physicians can consider earlier administration of diuretics in ED patients with HF (ACEP). J Am Coll Cardiol 2013; 62(16):e147–239.

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

This is really good Prehospital, ED, and Cardiolog. Fever, tachycardia, hypotension, hypoxia and "SVT" A woman in her 40s with palpitations and chest pre. Flecainide toxicity 4/21/21 2597782 This case was flagged as a false positive cath lab. A man in his 60s with diaphoresis, vomiting, and i.

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A Practical Approach to HIV/AIDS: Part 1

EMDocs

The syphilis and trichomonas tests come back negative in the ED, but his rapid HIV test is positive. How should clinicians approach the diagnosis and management of HIV in the ED? 11 These cardiovascular complications have further increased ED visits by HIV-positive patients by three times compared to individuals without HIV.

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Maros case of v fib arrest with prehospital RBBB inf MI fake out, ED inferior STEMI, coincidental aortic dissection

Dr. Smith's ECG Blog

Share to X Share to Facebook Share to Pinterest Labels: draft No comments: Post a Comment DEAR READER: I have loved receiving your comments, but I am no longer able to moderate them. .

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Early repol with increasing STE, formula values very low, angio negative.

Dr. Smith's ECG Blog

Ed Burns (from Life in the Fast Lane) sent me this. See what happens when one fails to diagnose STEMI. Serial ECG recordings are essential: paramedic mak. Are These Wellens' Waves?? .