Category Archives: Uncategorized

Anaphylaxis, Questions

1. How do you define anaphylaxis?  When and how do you give a patient with anaphylaxis epinephrine? How does age or past medical history factor in your decision? 2. When do you consult ENT to scope a patient with an … Continue reading

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Sickle Cell Disease, “Answers”

 1.)    How do you determine whether or not a sickle cell patient is currently experiencing an acute pain crisis?  Acute pain crises are one of the most common reasons patients with sickle cell disease (SCD) seek medical attention in the … Continue reading

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Sickle Cell Disease, Questions

1.)    How do you determine whether or not a sickle cell patient is currently experiencing an acute pain crisis?  2.)    How do you differentiate an acute pain crisis from pulmonary embolus or acute chest syndrome (ACS)? 3.)    What do you … Continue reading

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RSI Episode 2: Induction, “Answers”

1. Describe what an induction agent is and what the optimal characteristics   are for an induction agent to be used in RSI. Ron Walls states that the optimal induction agent “would smoothly and quickly render the patient unconscious, unresponsive … Continue reading

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Acute Coronary Syndromes, “Answers,” IV/IV

4. How reassuring is a recent (< 1 year) negative stress test in managing a patient with chest pain? How about a recent “normal” cath (i.e., < 30% blockage, no intervention)? In a word (or two): not very. The problem … Continue reading

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Acute Coronary Syndromes, “Answers,” III/IV

3.  How do you risk stratify patients with chest pain?  Do you use any clinical decision rules? It’s a daily ED conundrum: how concerning is this patient’s chest pain? This most common, yet challenging, clinical quandary is not an insignificant one … Continue reading

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Acute Coronary Syndromes, “Answers” II/IV

2.  How do you identify and manage patients with unstable angina? Patients with unstable angina (UA) are  on the same ACS spectrum as NSTEMIs and STEMIs.  Unstable angina is defined as either angina at rest, new onset (< 2 months) … Continue reading

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Acute Coronary Syndromes, “Answers”

NB: For this topic, perhaps the most researched in all of modern medicine, we are going to break up the answers to avoid dyspepsia. Our apologies for the extra emails. 1.     What anti-coagulants and/or anti-platelet agents do you use in … Continue reading

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RSI Episode 2: Induction, Questions

Coming soon: the finale to our August 2011 magnum opus on ACS! September 2011 1. What are the optimal characteristics for an induction agent for RSI? 2. What are the pros and cons for the following induction agents: etomidate, ketamine, … Continue reading

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Acute-Onset Atrial Fibrillation: “Answers”

1. What is your approach to managing a patient with acute-onset (< 48 hours) atrial fibrillation (afib)?  Which patients do you cardiovert? Does your management algorithm differ for patients with acute-onset rapid afib? The management of acute-onset afib in stable … Continue reading

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