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You are here: Home / 2014 / Archives for September 2014

Archives for September 2014

Burr Holes and Skull Trephination

September 24, 2014 by CrashMaster

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 […]

Filed Under: 02. Procedures

Atrial Fibrillation and Atrial Flutter

September 11, 2014 by CrashMaster

  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 […]

Filed Under: cardiology


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