Background/Introduction: Emergency department management of severe psychomotor agitation presents a unique challenge due to the undifferentiated nature of patient presentations, need for situational awareness, necessity for rapid sedation, all while ensuring safety and efficacy. Commonly used agents include a combination of ...
In this 28-minute lecture from Rebellion in EM 2021, Dr. Amal Mattu, MD goes over several cases of ECGs and subtle T waves you can’t afford to miss.
Background: One of the most common treatments in critically ill patients is the administration of intravenous fluids. Historically, 0.9% saline has been one of the most common solutions used in resuscitation. In 2015 we saw the publication of the SPLIT ...
I have started to split my time between the ED and ICU. Obviously these two areas of clinical care have their similarities, but also have their differences. So I decided to create this post to put things that I have ...
Background: COVID-19 is now a vaccine preventable illness but, unfortunately, many have not received the COVID-19 vaccine due to a number of reasons including access, misinformation and a lack of confidence. In the US, the emergency department is the safety ...
The management of patients with transient ischemic attacks (TIA) can be difficult. Do they all need admission, or can low risk patients go home? How do we define low risk? Multiple scoring systems are in place to help answer that ...
Background: Patients with COVID-19 are at a high risk for the development of venous thromboembolic disease . Alveolar capillary microthrombi appear to be 9x more prevalent in patients with COVID-19 compared to H1N1. As a result, enhanced-dose anticoagulation ...
This was the opening keynote given at the Rebellion in EM 2021 Conference by Dr. Gillian Schmitz, MD. In this 25 minute talk, Dr. Schmitz discusses the history and future of Emergency Medicine.
Take Home Points Infuse factor first, investigate later Treat when bleeding is suspected, not confirmed. Have a low threshold! It is better to over treat than undertreat. Give full dose when in doubt Factor 8 = 50U/kg Factor 9 = ...
Background: The mainstays for management of stroke include admission to a stroke center and management of modifiable risk factors.1,2,3 It is estimated that most strokes are ischemic (87%),4 and atrial fibrillation and/or flutter are thought to be responsible for approximately ...
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