Monthly Archives: July 2011

Acute-Onset Atrial Fibrillation: Questions

1. What is your approach to managing a patient with new-onset (e.g., within the last 24 hours) atrial fibrillation?  Which patients do you cardiovert? Does your management algorithm differ for patients with new-onset atrial fibrillation with rapid ventricular rate (RVR)? … Continue reading

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Mammal Bites: “Answers”

1.  Which mammal bites get antibiotics?  Cat versus human versus dog?  Location of the bite? From a Cochrane review of the topic, which looked at all known randomized controlled trials (RCTs) on the subject: “The use of prophylactic antibiotics was … Continue reading

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Mammal Bites: Questions

1. Which mammal bites get antibiotics?  Cat versus human versus dog? Location of the bite? 2. Which mammal bites do you close primarily and which do you leave open?  What’s your time window?  Does it vary by mammal or location? … Continue reading

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Rapid Sequence Intubation, Episode 1: “Answers”

1. What is RSI, and why do we use it for most ED intubations? “Rapid Sequence Intubation (RSI) is the administration, after preoxygenation, of a potent induction agent followed immediately by a rapidly acting neuromuscular blocking agent to induce unconsciousness … Continue reading

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Rapid Sequence Intubation, Episode 1: Questions

1. What is RSI, and why do we use it for most ED intubations?  2. What are the “Seven P’s” of RSI? 3. Atropine, fentanyl, and lidocaine are some of the typical agents used in the pretreatment phase of RSI.  … Continue reading

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Acute Pulmonary Edema: “Answers”

Updated May 2014 1. What is the basic pathophysiology of APE? How does this differ from a CHF exacerbation? Acute pulmonary edema (APE) or Acute decompensated heart failure (ADHF) results from a host of mechanisms. Historically, it was believed that … Continue reading

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Acute Pulmonary Edema: Questions

1. What is the basic pathophysiology of acute pulmonary edema (APE)?  How does this differ from a CHF exacerbation? 2. What medications do you use for immediate management of APE and why? 3. What is the role of non-invasive positive … Continue reading

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