Core EM Core Emergency Medicine

Time 2020-10-14 06:02:40

Web Name: Core EM Core Emergency Medicine

WebSite: http://coreem.net

ID:81448

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Hemolytic Uremic SyndromeAn overview of Hemolytic Uremic Syndrome and its management in the EDLegg-Calve-Perthes DiseaseAn overview of Legg-Calve-Perthes Disease and its management in the ED.Episode 179.0 Precipitous Breech DeliveriesEM management of the rare but potentially complicated precipitous vaginal breech delivery.Hosts:Audrey Bree Tse, MDMasashi Rotte, MD MPHEpisode 178.0 Graduation Speech by Dr. GoldfrankThe speech given by Dr. Goldfrank at the 2020 NYU / Bellevue Emergency Medicine Graduation CeremonyAn overview of elbow dislocations, how to examine them, and suggested techniques for reduction by Dr. Laura WeberRead moreA brief video reviewing how to prepare and administer push-dose epinephrine and push-dose phenylephrine.Read moreLearning to interpret ECGs is not easy – but there’s a world of help out there.Authors: Bennett J, Rhee D, Wagh A, Pusic M, Tse AB.Being able to efficiently and accurately read an ECG is an important yet very difficult skill to learn. Online resources can help you improve your abilities at any learner level;Read More“There are some things you learn best in calm, and some in storm.”– Willa CatherOver the past several years, I’ve thought a lot about what to say during the immediate moments after a failed cardiac arrest or traumatic resuscitation. When the rush of adrenaline comes to a screeching halt and all that is left is a deafening silence,Read MoreThe new version of the PEM CARS iBook (V3.0, 2019) has been released! 200 comprehensive, critical article reviews on PEM literature available for free.Download the PDFAccess the Apple BookCongratulations and many thanks to the NYU/Bellevue Pediatric Emergency Medicine fellows and faculty that have put in a considerable amount of effort to make this happen.  Read MoreA strategy of high-sensitivity cardiac troponins over short time intervals for the diagnosis of acute myocardial infarction has been recommended in European cardiology guidelines.Read MorePulmonary complications after opioid overdose include: non-cardiogenic pulmonary edema, aspiration pneumonia/pneumonitis and acute respiratory distress syndrome. Multiple mechanisms have been proposed for these complications.Read MoreAcid-Base Workshop: At the beginning of the conference year, multiple faculty members ran a workshop on acid-base abnormalities where we worked on identifying acid-base disturbances, determining primary respiratory or metabolic abnormalities, causes of such disturbances, and if compensation was appropriate. Perhaps one of the most challenging types of patients we encounter with an acid-base disturbance is an acidemic patient who we believe requires intubation. Below you will find a variety of resources on acid-base disturbances and more specifically, intubation and ventilation in this patient population. Read the case, consider reviewing the resources below, and think how you would approach this tenuous patient.The Case:A 23 yo F with a PMH of poorly controlled T1DM presents to your ED complaining of nausea, vomiting, and abdominal pain. She ran out of her insulin 3 days ago and didn’t have the funds to refill it. Her FS is 415 on POC testing.Vitals: 123/80, HR 120s, O2 98%, RR 32, Temp 98.2General: sleepy but arousable to voiceHEENT: dry mucous membranesChest: CTAB, kussmaul breathingCardiac: regular rhythm, tachycardicAbdomen: soft, NTNDExtremities: MAEWhat next?You hang fluids and start an insulin drip, but the patient becomes progressively lethargic and has vomited twice despite anti-emetics. You decide you need to intubate. What next?What would be your intubation strategy? Method, intubation medications, and things to pay attention to?Would you consider giving any additional medications (apart from paralytics or sedation medications) prior to intubating? If so, why, and what would be the dosing? NYU Langone HealthNYU Langone Health is one of the nation’s premier academic medical centers whose mission is to serve, teach, and discover.About Core EM Core EM is dedicated to bringing Emergency Providers all things core content Emergency Medicine. In the true spirit of Emergency Medicine our content is available to anyone, anywhere, anytime.Get In Touch Have feedback? Suggestions on how we can improve the site? Click below to contact us or find us on Twitter, Facebook or Google+ Contact UsNote: this service is provided by a third party, we do not collect your information in any way.

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