No Antibiotics for Diverticulitis...and other stuff the residents taught me this week

No Antibiotics for Diverticulitis...and other stuff the residents taught me this week

If you want to go deeper on stroke, may I suggest this in-depth review by emDocs or a shorter version that Thomas Davis did on JF?  Also emDocs has an outstanding post on concussion.  From the sideline to the ED to return-to-play, this brief but comprehensive post is stuff we need to know.

Syncope/Pre-syncope and Outcome in PE Patients

Syncope/Pre-syncope and Outcome in PE Patients

Syncope or pre-syncope in patients with PE was associated with an increased risk for 30-day mortality (43% vs 6%) and was an independent predictor of 30-day mortality when accompanied by hemodynamic instability on admission.  Don't try to treat them as an outpatient.

Time to Epi for Non-Shockable Rhythm Matters

Time to Epi for Non-Shockable Rhythm Matters

Earlier epinephrine administration for non-shockable rhythm was associated with better overall survival to discharge and neurologically-intact survival.  Reducing EMS time to the scene, time to IV (or IO) access, and time to drug may improve survival in this group of patients.

ECG Predictors of Arrhythmia in Syncope

ECG Predictors of Arrhythmia in Syncope

In the evaluation of older patients with syncope, certain ECG abnormalities increase the risk of 30-day serious cardiac arrhythmias. These ECG abnormalities include non-sinus rhythm; multiple premature ventricular conductions; short PR interval; first degree atrioventricular block; complete left bundle branch block; and ST, T, and Q-wave abnormalities consistent with acute or chronic ischemia.

Fast PEA | Slow PEA - Survival Difference

Fast PEA | Slow PEA - Survival Difference

There is a difference between PEA rhythms.  Slow rates of electrical activity had the usual dismal prognosis.  But those with electrical rates >60 had survival and favorable neurological outcome comparable to VF/VT, 22% and 15% respectively.

How to Tell VT From SVT with Aberrancy - Mattu, Brady, Tabas, Ferguson Teach Us

How to Tell VT From SVT with Aberrancy - Mattu, Brady, Tabas, Ferguson Teach Us

The differential of wide complex tachycardia (WCT) includes ventricular tachycardia (VT) and supraventricular tachycardia with aberrant conduction (SVT-AC). The summary below provides some tips for differentiating the two. However, if you are unsure it is always prudent to assume VT until proven otherwise.

Member Login
Welcome, (First Name)!

Forgot? Show
Log In
Enter Member Area
My Profile Sign up to get full access. Log Out