History is the most important factor in the work up, treatment and evaluation of someone with cardiac ischemia.
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November 26, 2012 |
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We cannot get into pharmacology, especially cardiac pharmacology without studying mechanisms. Okay, I have to go through some basic A&P I receptors to get you to a point where you can answer a high degree of these questions confidently and competentl…
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September 22, 2012 |
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Now, when we talk about the peripheral vascular resistance, that is really where epinephrine works. Classically, that is where problems would occur when you have someone with anaphylactic reactions. They have such a bad reaction that the blood vessel…
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June 9, 2012 |
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Emergency medicine is difficult. We are presented with incomplete information filled with variables. We are asked to balance risk verses benefits in every encounter, where, if wrong, a patient can die. It’s a tremendous responsibility. I love i…
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March 29, 2012 |
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Anyone who presents to an Emergency Department with chest symptoms, whether it is chest pain, pressure, shortness of breath, indigestion, cough, you have to ask, “Who is your PAPPA” to assist in finding the proper chest pain diagnosis. You need to l…
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March 27, 2012 |
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In discussing asthma, we want to treat them while they are making “NOISE.” NOISE is a pneumonic for the treatment of asthmatics when they come in and are sick. N is nebulizers where there is Albuterol and Atrovent. O is oxygen. I is intravenous fluid…
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February 27, 2012 |
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Here is an important question clinicians need to ask. When can you have a pneumonia and not see it on a chest x-ray? You can have a patient who is clinically sick because of a pneumonia, but when you do an x-ray you just don’t see it there. There are…
Categories: None | Tags: Chest Radiograph, Pneumonia
February 27, 2012 |
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This rule of chest radiograph interpretation (CXR) is to really look at the radiograph. It should take two minutes to evaluate a chest radiograph. Any time you order a chest radiograph, you need to devote two minutes to thoroughly review the radiog…
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February 27, 2012 |
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