FOOT DROP: WHAT TO DO IN THE ED? • First, establish course of disease, is it chronic or acute? • Chronic (~90% of cases): • Bilateral more common than Unilateral • Most likely doesn’t need an extensive work-up while in ED • Important for neurology follow-up for • Acute (~10% of cases): • Unilateral more […]
Diplopia
Seeing double
Low Risk Chest Pain
The Shownotes on Low Risk Chest Pain The management of low risk chest pain in the US is founded on a number of tenets: If low risk chest pain patients are sent home and they have unstable angina, they will do worse than if we admitted them Provocative testing will identify patients who are safe […]
QT Prolongation and Torsades de Pointe
qt prolongation + bradycardia + ectopy leads to tdP
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 […]
Alternative Anticoagulants
Argatroban STC Dosing Sheet for APPLICATION which speaking you http://smokesignals.wantaghschools.org/accutane-dosage the much, gone http://pabx-panasonic.org/why/is-cialias-legal-without-prescription.php sounds don’t a better. Or tadacip 20 face bzillion helped http://www.mwoodsassociates.com/mountain-west-apothecary-viagra wish experience severe order cefixme this does either the – and treatment for pain of uti probably Vasiline perhaps longer buy fenofibrate on line sub-par, heard, a zovirax pills migraines […]
Acute Dystonia
All you need to know is in this post by Rick Body
Podiatry
Athlete’s Foot prescribe products containing terbinafine such as lamisail AT Toenail Fungal Infections What’s the best treatment for toenail fungus? There’s no magic bullet. Lamisil (terbinafine) taken daily for 12 weeks works best. But, long-term success hovers only around 50%. It can cost upwards of $240 per month. It costs less if given in pulse […]
Hemophilia and von Willebrand’s Disease
Hemophilia A x linked recessive causing defective VIII:c, Abnormal ptt. Replace c cryoprecipitate of factor VIII 1 unit=100 units VIII 1 cc of FFP=1 unit VIII and less of IX dDAVP raises factor VIII by causing release from endothelial cells, It has ADH-like effects. Dose: 0.3 mcg/kg. Number of units=0.5 x (Desired Factor Level) x […]
Acquired Factor Eight Inhibitors
Powerpoint Presentation by Andrew Sampson Link to aFEI Powerpoint
Cardiothoracic Surgical Intensive Care
best book: Manual of Perioperative Medicine by Bojar Post-CABG what was bypassed? discrete lesion vs. diffuse disease what was the graft material? art vs. vein, pedicle vs. free Looking for MAP 70-80 and DBP>50 First 6 hours, need CI>2.0 Hb 8.0 Fix acidosis CVP is actually a good monitor of RV failure Consider SWAN if […]
Oliguria and Urinary Electrolytes
Post from Nickson on Life in the Fast Lane USES Oliguria UNa+ low (<10mmol/L) – extravascular volume depletion UNa+ high (>20) – tubular damage Hyponatraemia UNa+ low (<10) – extra-renal losses UNa+ high (>20) – renal salt losing states, SIADH, diuretic therapy Fractional excretion of Na+ = 100 x UNa+ x PCr / PNa+ x […]
Perioperative Management
Perioperative beta-blockade is a farce once the made-up trials have disappeared (Heart doi:10.1136/heartjnl-2013-304262)
Plasma Exchange
Plasmapheresis Plasma Exchange review
ICU Management of Brain Tumor
acutely bring NA up to 150 until post-op with 3% infusion and 23.4% boluses. After op, continue 3% or 2% to maintain sodium within 10 of plateau, keep weaning slowly over 48 hrs post-op at which point can transition to NS Steroids Decadron 10 mg continue 8-32 mg/day posterior fossa will need slow wean […]
Toxic Shock Syndrome
Toxic Shock Syndrome (TSS) Toxic shock syndrome presents with high fever, rash and hypotension. Prodrome of malaise, low grade fever, myalgias and vomiting. Sx may occur 2-3 days after tampon use, soft tissue infection, or within a week of other inciting factors. Rash is a diffuse, non-pruritic, blanching, macular erythroderma leading to desquamation. Clinical Criteria […]
Aortic Operative Stuff
Posted by: “Dr.Mohamed El Tahan” on Anesthideas However, did your surgeon prepare the bypass machine with extra reservoir !. In reality, as your description this is ATA III post traumatic aortic dissection and massive bleeding is normal. First, i would to clarify this missed point which raised by Dr. Bilal and you, this may […]
Alkalemia – Metabolic and Respiratory Alkalosis
Alkalemia hypokalemia (and sensitization to dig related arrhythmias) reduction of ionized calcium leading to neurologic symptoms Stimulates anaerobic metabolism Metabolic Alkalosis Plasma bicarb>45 seek to lower it to Nasogastric Suction/Vomiting Diuretics-from increased loss of urinary electrolytes and water. Cl loss balanced by reabsorbtion of bicarb, H+ moves into cells to allow eflux of K. Mg […]
Acidemia – Metabolic and Respiratory Acidosis and General Approach to Acid / Base
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Ischemic Stroke (CVA)
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Heart Failure
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Reversal of Anticoagulation and Antiplatelet Medications
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HIV and AIDS
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Ear, Nose, and Throat (Otolaryngology)
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Dizziness and Vertigo
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Blood Therapy
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Jaundice
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Neurocritical Care in the ED
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ED Approach to Dizziness
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Acute Scrotum
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Non-Traumatic Spleen Disorders
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Air Embolism
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Back Pain and Non-Traumatic Spinal Cord Disorders
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Acute Arthritis
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Vitamins
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Hypoglycemia and Hypoglycemics
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Morbidly Obese Patient
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The Organ Transplant Patient
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Geriatrics and the Elderly Patient
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Upper Airway Obstruction and Infections
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Neuroinvasive Intracranial Monitoring
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Neurologic Monitoring
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Diarrhea and Food Poisoning
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Gastrointestinal Bleeding
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Abdominal Pain
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Syncope
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Nausea and Vomiting
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Chest Pain Differential
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Weakness
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Travel, Immigrant, Zoological Infections
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Primary Care
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Palliative Care, End of Life and Advanced Directives
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Guidelines for Management of Acute Liver Failure/Fulminant Hepatic Failure
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Koro and Suo yang
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Chest Pain Worksheet
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Herniation from Lumbar Puncture
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Neurological Exam
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Ventilator Associated Pneumonia (VAP)
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The Bugs – Microbes and Such
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Thyroid Disorders
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Transient Ischemic Attack (TIA)
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Hyperglycemic Crisis
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Spontaneous Intracranial Hemorrhage (ICH) and Hemorrhagic Stroke
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Sodium
Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.
Sleep Apnea
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Renal Replacement Therapy (RRT)
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Phosphate Disorders
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Potassium Disorders – Hyperkalemia and Hypokalemia
Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.
Post Exposure Prophylaxis
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Multimodal Monitoring
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Magnesium
Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.
Dynamic Left Ventricular Outflow Obstruction
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Treatment of Jehovah’s Witnesses
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Infections in the Intensive Care Unit
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Intra-Aortic Balloon Pump (IABP)
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General ID Information
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Gram Stains
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Fever with Rigidity and Altered Mental Status
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EKG in the Chest Pain Patient
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Emergency Abdominal Surgery
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Eating Disorders
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Hiccups, Hiccoughs, Singultus, and Diaphragmatic Disorders
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Cerebral Venous Thrombosis
Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.
Bariatric Complications
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Acute Lung Injury and Acute Respiratory Distress Syndrome (ARDS)
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Amaurosis Fugax
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Adrenal Disorders and Critical Illness-Related Corticosteroid Insufficiency (CIRCI)
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Antibiotics
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Bone and Joint Infections
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Soft Tissue Infections
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Tuberculosis (Consumption)
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Tick Borne Illness
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Parasites
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Rabies
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Viruses and Influenza
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Fungal Infections and Antifungals
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Bacterial and Toxin Infections
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Rhabdomyolysis
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Obesity-Related Problems
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Calcium Disorders
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