Emcrit.org

A review of transfusion- and trauma-induced hypocalcemia: Is …

WebHypocalcemia (iCa, <1.12 mmol/L) among those in the nontreatment group those who did not re-— ceive calcium concurrently with prehospital blood products was — 70% (166 of …

Actived: 9 days ago

URL: https://emcrit.org/wp-content/uploads/2021/05/Official-JTACS-Lethal-Diamond.pdf

Hypertensive emergency

WebThe following approach seems reasonable & consistent with guidelines: ( 29133354, 30165588) (#1) The initial goal is to decrease the MAP by ~20% within 1-2 hours. (#2) If …

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Metabolic alkalosis

WebMetabolic alkalosis may be diagnosed in two situations ( red arrows above): (1) If the serum bicarbonate is elevated (>28 mM), this alone reveals a metabolic alkalosis. (2) If the …

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EMCrit Wee – Sleep Part 1

WebMike Stone, MD. Mike Mallin, MD. Dr. Mike Mallin is the co-founder and chief science officer at Wild Health, and he is responsible for concepting and building their proprietary …

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Acute Pancreatitis (including hypertriglyceridemic

Webdiagnostic criteria for acute pancreatitis. At least two of the following are required: (1) Elevation of lipase >3 times upper limit normal (i.e., >~750 U/L). (2) Clinical history and …

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Hospital-Acquired Pneumonia (HAP)

Webdefinition of hospital-acquired pneumonia (HAP) HAP requires the following components: (1) Pneumonia that develops after >48 hours in the hospital (early-onset pneumonias …

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Severe community-acquired pneumonia

Webdefinition of community acquired pneumonia (CAP) Community-acquired pneumonia refers to a pneumonia which begins when the patient is outside the hospital, or within the first …

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Cardiac glycoside poisoning (including digoxin)

Webmechanism of action of digoxin. (1) Digoxin inhibits the cardiac Na/K antiporter (orange oval, above). This causes an increase in intracellular sodium and a decrease in intracellular …

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Anion-gap metabolic acidosis

WebAnion gap is calculated as (Na – Cl – Bicarb). Nothing fancy, no corrections for anything (glucose, albumin, potassium, etc.). More discussion of the anion gap in the chapter on …

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PulmCrit – Dismantling the systemic racism of pulse oximetry

WebAdditionally, clinicians are often aware that pulse oximetry is less accurate at very low saturation, so they are unlikely to make clinical decisions on the basis of a saturation …

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Acute Disseminated Intravascular Coagulation (DIC)

WebAcute DIC results from an acute trigger of coagulation (e.g., sepsis or trauma). This leads to abrupt and exuberant depletion of coagulation factors, leading to hemostatic imbalances. …

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Thrombotic microangiopathies (including TTP, ST-HUS, and C-HUS)

WebTTP: TTP causes acute kidney injury in 50% of patients, but this is generally mild. Mild or absent renal involvement would favor TTP. Substantial acute renal failure (creatinine >2 …

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Errors of commission vs. errors of omission

Web0. The commission-omission equation is a way to balance errors of omission vs. errors of commission, a calculation which we perform subconsciously. For patients who are not …

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Unfractionated heparin (UFH), LMWH, fondaparinux, argatroban, …

WebUnfractionated heparin (UFH) binds to antithrombin III (AT-III), which enhances antithrombin's inhibition of several coagulation factors – especially factor Xa and factor …

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PulmCrit- The Rothman Index: Artificial intelligence or merely a

WebThis principle was illustrated by the above article comparing various decision instruments versus clinician judgement. 1 Decision instruments generally perform well as a stand …

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Stress Inoculation Training by Mike Lauria

WebCite this post as: Mike Lauria. Stress Inoculation Training by Mike Lauria. EMCrit Blog.Published on December 31, 2015. Accessed on April 25th 2024.

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PulmCrit- Furosemide failure: should we add metolazone, IV

WebLet’s take a closer look at the right side of that panel, which shows the cumulative urine output over 48 hours. There is enormous variation in the urine output among patients …

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December 1, 2009 Dear Cath Lab Director

WebMs. Cozzens can be reached by telephone at 518-402-1016, by email at [email protected] or by mail at: Kimberly S. Cozzens, MA Cardiac Initiatives …

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