Author Archives: emlyceum

Infectious Diseases, “Answers”

1. Which patients with neutropenic fever do you consider for outpatient management? Neutropenic fever is a common presentation to the Emergency Department, especially in tertiary hospitals where many oncology patients are undergoing chemotherapy. According to the Infectious Disease Society of … Continue reading

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Infectious Diseases, Questions

Questions By: Kai Huang, MD (NYU/Bellevue PGY4) Which patients with neutropenic fever do you consider for outpatient management? Which patients with community-acquired pneumonia do you admit? Which patients with influenza do you treat with oseltamivir? Which adult patients getting worked up for … Continue reading

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Airway and Sedation, “Answers”

Question #1: Do you reach for video laryngoscopy or direct laryngoscopy first for intubations? Tracheal intubation is a fundamental skill for EM providers to master. Historically, direct laryngoscopy (DL) has been the modality of choice for endotracheal intubation, with a … Continue reading

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Questions, Airway and Sedation 2014

1. Do you reach for video laryngoscopy or direct laryngoscopy first for intubations? 2. Do you use cricoid pressure during induction and paralysis? 3. How long do you keep patients NPO prior to procedural sedation? 4. When using ketamine for … Continue reading

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Seizure, “Answers”

1. Which benzodiazepine do you prefer for the treatment of status epilepticus (SE)? Which do you prefer for pediatric patients? An epileptic seizure (ES) is defined as an abrupt disruption in brain function secondary to abnormal neuronal firing, and is … Continue reading

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Seizure, Questions

1.  Which benzodiazepine do you prefer for the treatment of status epilepticus (SE)? Which do you prefer for pediatric patients? 2. Which second-line agents do you use for treatment of SE? 3. In which adult patients with first-time seizure do … Continue reading

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Trauma, “Answers”

1. When do you use tranexamic acid in trauma? Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine. It was discovered in the 1950s and has traditionally been employed in surgery to minimize blood loss. TXA works … Continue reading

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Trauma, Questions

1.  When do you use tranexamic acid in trauma? 2.  When you can’t get peripheral access in a trauma patient, do you prefer subclavian, femoral, or IO? 3.  Which trauma patients do you give PCC to over FFP? 4.  In … Continue reading

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DKA, “Answers”

 1. When you are suspicious for DKA do you obtain a VBG or an ABG? How good is a VBG for determining acid/base status? Diabetic ketoacidosis (DKA) is defined by five findings: acidosis (pH < 7.30, serum bicarbonate (HCO3) < … Continue reading

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DKA, Questions

1. When you are suspicious for DKA do you get a VBG or an ABG? How good is a VBG for determining acid/base status? 2. Do you use serum or urine ketones to guide your diagnosis and treatment of DKA? … Continue reading

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