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Lincoln EM Residency
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Lincoln EM Residency Mar 29
Strayer: Prevent psych distress with ketamine w pre-induction coaching. "Think of a calm place" "You can control the dream"
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Lincoln EM Residency Mar 29
Who is the hypovolemic CHFE? COPDers! Pnuemonia! Afib with RVR! Chemo Patients!
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Lincoln EM Residency Mar 29
V Noble: Sono for confirming shoulder reduction. Do all patients need a post reduction film anymore?
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Lincoln EM Residency Mar 29
Bipap works in CHFE because it helps unload the left ventricle
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Maimonides EM Mar 29
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Lincoln EM Residency Mar 29
Myth: all CHF needs diuresis
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Hilary Fairbrother Mar 29
That green box is therapeutic window. . Start w/ haldol x2, then ketamine.
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Lincoln EM Residency Mar 29
R Strayer: Try treating pain with haldol, if it doesn't work try ketamine, the prior haldol will prevent dysphoria
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Lincoln EM Residency Mar 29
R Strayer: Acute on chronic pain can be treated with haldol. Backed up by mountains of research.
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Lincoln EM Residency Mar 29
Anticipate distress in partially dissociated; give benzodiazepines or propofol
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Lincoln EM Residency Mar 29
R Strayer: Make ketamine your friend and you've got a friend for life.
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Lincoln EM Residency Mar 29
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Lincoln EM Residency Mar 29
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Lincoln EM Residency Mar 29
V Noble: Patients who get femoral nerve block for hip fractures have less pneumonia and fewer UTIs!
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Lincoln EM Residency Mar 29
V Noble: Superior cervical nerve block for clavical fractures and for cental line anesthesia!
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Lincoln EM Residency Mar 29
Two thumbs down technique - Reuben Strayer
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Felipe Teran Mar 29
Next up: on Pulse Ox Synypnea: when all patients in the ED have the same respiratory rate
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Lincoln EM Residency Mar 29
High flow nasal cannula during rsi: The more like you have O's through the nose, the less likely you'll get hosed
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Lincoln EM Residency Mar 29
CE technique is incorrect! The 2 handed jaw thrust is the way to go!
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Lincoln EM Residency Mar 29
V Noble: Use carotid VTI to help measure fluid responsiveness
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