Congestive Heart Failure

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Congestive Heart Failure

Key Points Print Section Listen A normal ejection fraction does not exclude congestive heart failure (CHF), as CHF can occur secondary to either systolic or diastolic dysfunction. Nitroglycerin is the…

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Dyspnea

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Dyspnea

Key Points Print Section Listen Determine whether an immediate life threat is present. Answer 3 key questions when approaching patients in moderate to severe respiratory distress. Diagnose causes of dyspnea…

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Pneumothorax

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Pneumothorax

Key Points Print Section Listen Tension pneumothorax is a clinical diagnosis that should be considered in any patient with shock and respiratory distress. Treatment should not be delayed for radiologic…

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Syncope

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Syncope

Key Points Print Section Listen Place all patients with syncope on a cardiac monitor, obtain a STAT bedside glucose level, and check continuous pulse oximetry. Obtain a detailed history of…

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Hypertensive Emergencies

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Hypertensive Emergencies

Key Points Print Section Listen Hypertension is a very common finding in emergency department patients. Evidence of acute end-organ dysfunction in the setting of hypertension is rare but requires emergent…

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Pneumonia

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Pneumonia

Key Points Print Section Listen Focus on diagnosing pneumonia early. Identify risk factors that influence treatment decisions (eg, antibiotic choice and disposition). Blood cultures and empiric antibiotics should be started…

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Central Venous Access

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Central Venous Access

Key Points Print Section Listen The ability to access the central venous circulation is an imperative skill for emergency physicians and is often needed for life-saving measures. The central venous…

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Laceration Repair

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Laceration Repair

Key Points Print Section Listen The timing of wound closure is determined by balancing the risk of infection with the likelihood of scarring. Identify and remove foreign bodies before wound…

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Chest Pain

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Chest Pain

Key Points Print Section Listen Chest pain is a very common complaint in emergency department patients. A rapid electrocardiogram and chest x-ray will help distinguish between multiple emergent causes of…

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Introduction to Emergency Ultrasonography

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Introduction to Emergency Ultrasonography

Key Points Print Section Listen Use of ultrasound by emergency physicians has grown significantly in the last decade. Emergent applications include the setting of trauma, abdominal aortic aneurysm, ectopic pregnancy,…

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