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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 Aug 17
And don't forget to have someone ready to wipe off the ultrasound gel so the compressor's hands don't slip!
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Temple EM Residency Aug 17
u/s in codes: just save a good clip, analyze it later once someone's back pushing on the chest
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Temple EM Residency Aug 17
In PEA code, treat wide QRS as hyperK before reaching for u/s says Haney Mallemat
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Temple EM Residency Aug 17
Prevent hyperoxia after ROSC - observational data suggests a correlation between hyperoxia and harm (& no benefit)
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Temple EM Residency Aug 17
Ah, the good old correlation/causation paradox! Complicates studying and treating profoundly hypotensive patients
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Temple EM Residency Aug 17
TEE (esophageal echo) has helped us improve ACLS, interruptions in compressions, and ECMO initiation in the ED
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Temple EM Residency Aug 17
Distinguish PRES=standstill vs. PREM=pseudoPEA=profound hypotension using u/s during codes (our very own )
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Temple EM Residency Aug 17
Replying to @DavidFGaieski
our hospital's high volume ECMO and transplant program means we get a lot of experience managing cannulated patients
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Temple EM Residency Aug 17
Use US early on in your evaluation of the cardiac arrest pt to allow for early interventions
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Temple EM Residency Aug 17
mechanical CPR in tandem with eCPR (ECMO) can help bridge to cath lab for select witnessed cardiac arrest patients
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Jonathan Talmud Aug 17
Is there any data on antipyretic therapy in ARDS where the pro-inflammatory fever might have the most negative impact?
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Temple EM Residency Aug 17
No, the probe isn't backwards. RV failure by (apical four chamber view)
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Temple EM Residency Aug 17
Don't forget post-intubation care in the ER: set correct TV, titrate FiO2, HOB up 30 degrees, OGT, sedation
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Temple EM Residency Aug 17
Intubation principles from preoxygenate, keep pt inclined, and () start with video laryngoscope
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Temple EM Residency Aug 17
Replying to @EDamuth
Per HEAT trial acetaminophen had no effect on ICU free days Must balance symptom relief vs. Blunting immune response
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Temple EM Residency Aug 17
asks: fever in septic intubated patient...Would you give acetaminophen?
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Temple EM Residency Aug 17
on Sepsis 3.0: qSOFA has higher area-under curve, but SIRS still more sensitive thus helpful in ED
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Temple EM Residency Aug 17
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AAEM/RSA Aug 4
Applying for fellowships? Listen to this new RSA podcast on Administration Fellowships!
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Temple EM Residency Aug 10
Replying to @TheGargFather
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