Archive

Medical Category: Thoracic and Respiratory

Single Dose Dexamethasone or 5 Days of Prednisone in Adult Asthmatics?

Background: Acute asthma presentations account for more than 2.1 million Emergency Department (ED) visits annually. In the US, 8.4% of the population is affected by the disease. Current guidelines from the National Heart, Lung, and Blood Institute recommend a minimum of ...

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Thoracic and Respiratory

Is Too Much Supplemental O2 Harmful in COPD Exacerbations?

Background: It’s common practice to give carefully titrated supplemental oxygen therapy for patients in COPD exacerbation. We give enough O2 to prevent hypoxemia, but not so much that it causes hypoventilation or dangerous hypercarbia. If you’re like me then you’ve ...

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Thoracic and Respiratory

The FELLOW Trial: An End to Apneic Oxygenation?

Background: Every year there are a handful of “game changing” publications that truly change how we care for our patients. One such paper was a paper by Scott Weingart and Richard Levitan in the Annals of Emergency Medicine in 2011 ...

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ResuscitationThoracic and Respiratory

Catheter Directed Thrombolysis: The Magic Bullet for Submassive Pulmonary Embolism?

Background: When evaluating therapeutic options for PE, there are three categories in my mind: Subsegmental, Submassive, and Massive. For simplicity sake lets just say subsegmental PEs get treated with anticoagulation and massive PEs get treated with thrombolysis. The submassive category ...

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Thoracic and Respiratory

Management of Mild to Moderate Asthma Exacerbations

This post is meant to accompany the REBEL Cast episode on The Crashing Asthmatic from June 2015. This blog post will also be simultaneously posted on the Core EM site here. Come over and check out our core content offerings. ...

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Thoracic and Respiratory
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