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Category Archives: Uncategorized
Medicaton Comparisons, Questions
1. Acetaminophen vs. ibuprofen: Which do you prefer for analgesia? For fever reduction? 2. PPIs vs. H2 Blockers: Which is your first choice for GERD/gastritis? 3. Meclizine vs. benzodiazepenes: Which do you prescribe for vertigo? 4. Calcium channel blockers vs. … Continue reading
Posted in Uncategorized
Tagged acetaminophen, atrial fibrillation, GERD, ibuprofen, pharmacology, vertigo
6 Comments
Epistaxis, “Answers”
1. How do you differentiate an anterior from a posterior nosebleed? Whether you’re sitting high in the bleachers of a baseball game or treating a patient in the Emergency Department, nosebleeds can be an extremely frustrating, common, and sometimes even life-threatening … Continue reading
Epistaxis, Questions
1. How do you differentiate an anterior from a posterior nosebleed? 2. What type of nasal packing do you prefer if direct pressure and silver nitrate cautery fail? Guaze ribbons? Nasal foam tampons (i.e., Merocel, Rhino Rocket)? Nasal balloon tampons … Continue reading
tPA in ischemic stroke, “answers”
Check out our own Dr. Anand Swaminathan discussing this topic and more on ischemic stroke on ER Cast here and here! 1. How do you control blood pressure (BP) in patients who will be or/are receiving tPA? For patients … Continue reading
tPA in ischemic stroke, Questions
1. How do you control blood pressure in patients who will be/are receiving tPA? 2. Do you treat patients with tPA up to 4.5 hours from onset of symptoms, and if so which ones? 3. How do you determine if … Continue reading
Fluid Responsiveness, “Answers”
1. How do you assess fluid responsiveness in the ED? Do you use IVC collapsibility in spontaneously breathing patients? Although fluid resuscitation is paramount in the treatment of sepsis, volume overloading critically ill patients has been shown to worsen outcomes … Continue reading
Posted in Uncategorized
Tagged acid base, acidosis, fluid responsiveness, hypotension, transfusion
5 Comments
Fluid responsiveness, Questions
1. How do you assess fluid responsiveness in the ED? Do you use inferior vena cava (IVC) collapsibility in the spontaneously breathing? 2. Which crystalloid fluid do you use to resuscitate critically ill patients? 3. Do you ever use hypertonic … Continue reading
Troponin testing, “Answers”
Troponin is a structural protein found in striated muscle and is involved in calcium processing. Although troponin can be found in many types of muscle, cardiac troponins are structurally different from the variety found in skeletal muscle. Therefore tests can … Continue reading
Troponin testing, Questions
1. Do you ever send a single troponin in patients with chest pain? If so, when? 2. How do you manage patients with end stage renal disease (ESRD) and chest pain who have equivocal troponins? 3. Do you send a … Continue reading
Posted in Uncategorized
Tagged cardiology, chest pain, dialysis, pericarditis, troponin
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Pneumothorax, “Answers”
1. How good is CXR for detection of a pneumothorax? Ultrasound? When do you get a chest CT in someone you suspect may have a pneumothorax but has a negative CXR? The sensitivity of a chest radiograph (CXR) for the … Continue reading
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