VAD (Ventricular assist device) patients are a special challenge for the EP. Through a careful assessment of the VAD, physical exam, MAP, ECG, and echo, the EP can resuscitate the good VAD that has gone bad.
Rule Out Emergent Diagnosis and Causes of Stridor in Children: Epiglottitis, Retropharyngeal Abcsess, Bacterial Tracheitis, Foreign Body Aspiration
Patients with acute life-threatening cardiac or pulmonary conditions frequently present with feelings of panic or impending doom in association with chest pain. This may even be in the setting of a stressful situation and mislead the EP to feel confident that anxiolytic therapy and reassurance is all that may be needed.
The general approach to acute scrotal pain is to work-up the patient for testicular torsion by first risk stratifying them based on age group, history and physical.Based on the patient's…
Cardiac Arrest from Blunt Chest Trauma Read Also : Penetrating Chest Trauma Algorithm ED Thoracotomy indications: Trauma patient, CPR, no signs of life (SOL) +:Blunt trauma with CPR <10minPenetrating trauma…
Arresting Patient ED Thoracotomy indications: Trauma patient, CPR, no signs of life (SOL) +:Blunt trauma with CPR <10minPenetrating trauma with CPR <15minPenetrating trauma to neck/extremity < 5 min No Signs…
Clinical Crearance - Low Risk Patient (NEXUS) Definitions Midline posterior bony cervical-spine tenderness is present if the patient reports: Pain on palpation of the posterior midline neck from the nuchal…
A head CT is indicated in head trauma patients with loss of consciousness or posttraumatic amnesia only if one or more of the following is present (Level A Recommendation)
Acute aortic dissection (AD) is defined as a tear through the intima, which results in the flow of arterial blood between the layers of the aorta. This intimal tear is…
Mild hypothermia → tachypnea, tachycardia, hyperventilation, ataxia, shivering, impaired judgment, “cold diuresis” Moderate → bradycardia, hypoventilation, CNS depression, loss of shivering, slow A-fib + other arrhythmias Severe → pulmonary edema,…