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Temple EM Residency
Temple Emergency Medicine Residency Program. Focused on medical education. Resident run. Disclaimer:
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Temple EM Residency Mar 23
Does your facility have Clevidipine? Temple will now be using this in HTNsive emergencies
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Temple EM Residency Mar 23
Clevidipine is more effective than both nicardipine and nitroprusside at maintaining target BPs
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Temple EM Residency Mar 23
Do you treat new HTN in the ER if they have elevated BP x2?
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Temple EM Residency Mar 23
Taking Active Learning to a whole new level, 3rd year Scott Beaudoin paces himself for the sake of education
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Temple EM Residency Mar 22
Welcome to the family, class of 2020! We're so excited for you to join us
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Temple EM Residency Mar 22
Another great emDocs post. This time by 2nd year Jenna Otter.
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Temple EM Residency Mar 20
Tips for difficult foley placement: hx BPH-use larger/stiffer foley, try 18F coude; hx stricture-go smaller 12-14F
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Temple EM Residency Mar 20
TXA for epistaxis is effective, dec ED LOS, has less rebleeding and pts like it. Soak packing in 500 mg in 5 cc
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Temple EM Residency Mar 20
Pt w/epistaxis on HD or antiplt agent? Give DDAVP 0.3 mcg/kg IV over 30 minutes
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Temple EM Residency Mar 20
Approach to uncontrolled epistaxis: cautery, packing; if fails, FLOSEAL or Surgicel
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Temple EM Residency Mar 20
Consider PMCS in preg cardiac arrest if the fundus is palpable above the umbilicus and loss of vitals is <10-15 min
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Temple EM Residency Mar 20
When intubating a pregnant patient, use a tube 0.5-1 size smaller than usual
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Temple EM Residency Mar 20
Tips for improving nurse-doc relationships->have empathy, treat w/ respect, listen. Seems simple but freq overlooked
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Temple EM Residency Mar 18
Post intubation care matters. Approp sedate/tx pain. Use lung-protective vent settings, wean O2 early, HOB up/oral care
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Temple EM Residency Mar 18
Sickle cell VOC: Treat pain. Look for infx. Check hgb and retics. No O2 unless hypoxic, avoid excessive fluids
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Temple EM Residency Mar 18
Use ABIs and absence/presence of pain to help differentiate peripheral arterial disease vs venous ulcers
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Temple EM Residency Mar 18
Using US for evaluation of appy. Look for non-compressible, blind-ended structure, >6mm, fat stranding
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Temple EM Residency Mar 18
Pt with trach: questions to ask: when placed? Why? What size?
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Temple EM Residency Mar 18
Low risk BRUE: should not do routine labs; need not viral panel, UA, routine admit
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Temple EM Residency Mar 18
Peds sepsis: LR vs NSS doesn't really matter
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