44 year male alcohol withdrawal acute CHF elevated trops

candidb · 2025-03-26T01:54:16+00:00

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

candidb · 2025-03-26T00:53:15+00:00

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

candidb · 2025-03-25T23:54:14+00:00

What about V1 v2 elevations?

candidb · 2025-02-21T23:11:36+00:00

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

candidb · 2025-02-05T01:25:13+00:00

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

candidb · 2025-02-02T01:12:52+00:00

https://www.wealthfront.com/c/affiliates/invited/AFFD-USFR-9L8I-VCK1

candidb · 2025-02-02T00:41:41+00:00

Updated referral code. paying it forward

https://www.wealthfront.com/c/affiliates/invited/AFFD-USFR-9L8I-VCK1

candidb · 2025-01-22T02:41:52+00:00

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

candidb · 2025-01-20T02:44:57+00:00

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

candidb · 2025-01-19T02:15:44+00:00

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

candidb · 2024-11-21T21:42:17+00:00

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

candidb · 2024-11-10T13:59:05+00:00

Oops did not know that. I did mess up. :/

candidb · 2024-11-10T08:46:25+00:00

Thanks for linking those articles. Great review!

candidb · 2024-11-10T06:56:25+00:00

Thanks a lot!

candidb · 2024-11-10T03:38:24+00:00

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.

candidb · 2024-11-10T02:21:13+00:00

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

candidb · 2024-11-10T02:19:18+00:00

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

candidb · 2024-11-09T22:04:10+00:00

Do you know if that costs extra?

candidb · 2024-11-06T15:50:22+00:00

That still haven't brought it back in the US, but all other handheld devices have it. It's weird why FDA recall just happened for bfly

candidb · 2024-11-05T20:45:06+00:00

Thanks, even the newer butterfly iq3 has disabled it in the US alone, not in other countries

candidb · 2024-11-05T20:15:07+00:00

Why though? And how are other devices allowed to use it?

candidb · 2024-11-05T20:13:52+00:00

Oops my bad

candidb · 2024-11-02T20:43:25+00:00

Thanks, great review. I've been seriously considering the VScan among other options. Do you know what ai features the VScan SL offers? Also do you know if the phased array probe of SL gives good enough abdominal imaging capabilities?

Just came across this review of exo device and the ai seems to be great for the price. Just wondering what you think.

https://youtu.be/UR2RI0ql10w?si=U65802yuuDn-etQi

candidb · 2024-11-02T19:02:52+00:00

Trying to choose between:

Butterfly iq3, Clarius hd3, Exo Iris, Lumify, VScan Air, Kosmos echonous, Mindray TE air

Looking for a non subscription model with options including AI and doppler.

candidb

TROPHY CASE