UC Davis Cheat Sheet Acad Emerg Med 2011;18:78 Emergency department skull trephination for epidural hematoma in patients who are awake but deteriorate rapidly. (J Emerg Med. 2010 Sep;39(3):377-83.) Authors Smith SW, et al. Show all Journal doi: 10.1016/j.jemermed.2009.04.062. Epub 2009 Jun 17. Affiliation Comment in J Emerg Med. 2012 Dec;43(6):e489-90. Abstract BACKGROUND: Blunt head […]
Archives for September 2014
Atrial Fibrillation and Atrial Flutter
Chemical Cardioversion Ibutilide 1 mg over 10 minutes Avoid if EF<20% or QTc>480 must observe for 4 hours to make sure no QT prolongation augments electrical cardioversion (NEJM 1999;340(24):1849 ashman beats from variable repolarization of the bundles Holiday heart=etoh generated a-fib, can also be from withdrawal. Usually spontaneously resolves. P-ulmonary Embolism […]