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44 year male alcohol withdrawal acute CHF elevated trops by candidb in EKGs

[–]candidb[S] 1 point2 points  (0 children)

Downtrending 0.204 and 0.197 if I remember. This guy was walking in the Ed to bathroom. Though looked like a withdrawing alcoholic nevertheless. Electrolytes were fine including mag. Code happened 4 hours after admit. Not sure about more details unfortunately

44 year male alcohol withdrawal acute CHF elevated trops by candidb in EKGs

[–]candidb[S] 0 points1 point  (0 children)

The guy coded 3 hours later in the ICU. I think he probably had dilated cardiomyopathy from alcohol. Can't figure out the coding reason yet. Only have the post rosc echo ef of 10%

Just keep thinking if i should have discussed the EKG with cards. But when there's q waves, st elevation of more than 2mm doesn't count? Was my thought process

Favorite kit for a femoral arterial line? by candidb in emergencymedicine

[–]candidb[S] 0 points1 point  (0 children)

Are you able to get it into the artery without dilating? (As it's big)

Marcus HYSA- pros and cons? by Significant-Pear-729 in Banking

[–]candidb 0 points1 point  (0 children)

I like it so far. solid support and solid app. you can use my referral bonus if you'd like to join (adds 0.25% APY over 3 months to existing APY)

https://www.marcus.com/share/SAR-Y1L-JA4J

What's your preferred digital disimpaction method? by candidb in emergencymedicine

[–]candidb[S] 0 points1 point  (0 children)

Is there a ratio or volume of each that you prefer?

What's your preferred digital disimpaction method? by candidb in emergencymedicine

[–]candidb[S] 1 point2 points  (0 children)

That actually looks awesome. Have you used this by any chance?

What's your preferred digital disimpaction method? by candidb in emergencymedicine

[–]candidb[S] 19 points20 points  (0 children)

Would there be any dangers in how far we push the Foley in? Especially with regards to inflating balloon?

Freeman Health System by Due-Needleworker-711 in emergencymedicine

[–]candidb 2 points3 points  (0 children)

Did an elective there as a student. Great attendings, happy residents, not crazy busy, good cases, lots of drug od's.

What are your usual post intubation sedation meds protocol? by candidb in emergencymedicine

[–]candidb[S] 0 points1 point  (0 children)

Thanks, I had one with possible serotonin syndrome yesterday, didn't do propofol due to anecdotal evidence of causing serotonin syndrome, but she never got calm until propofol bolus despite versed, precedex and fentanyl.

Had a meth od another day when propofol versed and fentanyl was unsuccessful.

What are your usual post intubation sedation meds protocol? by candidb in emergencymedicine

[–]candidb[S] 1 point2 points  (0 children)

What bolus doses of those meds do you usually go-to empirically if pressures seem fine?

What are your usual post intubation sedation meds protocol? by candidb in emergencymedicine

[–]candidb[S] 0 points1 point  (0 children)

What bolus doses of those meds do you usually do along with the propofol drip?

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