Conference Summary 8/3

End-tidal CO2
1) Obstruction - slope of the plateau phase = consider obstruction
2) ACEP Level B recommendation to use capnography
3) ETCO2: <10 during CPR, improve chest compressions.

Foundations/CC/Business
1) Acute pulmonary edema - Goals: preload reduction (nitrates, additional preload with BiPAP)
2)  STEMI complications/frequency - LV free-wall rupture (1-2 weeks out) > VSD (3 days - 1 week out) > papillary muscle rupture (3 days - 1 week out)
3) Medicare Part B eligibility - 
​> 
65yo & U.S. citizen/resident who has been here five years

CQR
1) Volume resuscitation in HF -  Sepsis still need some volume resuscitation - don't jump directly to pressors!
2) The blood pressure number doesn't lead to improved outcomes without end-organ damage
3) DKA - don't always assume non-compliance.  Consider infection (find. the. source.), new onset DM, or any other physiologic stressor (infarction, adrenalitis, etc.)

Dissociated ramblings
1) ECMO - consider for cardiogenic shock from cardiotoxic drugs (beta blockers, calcium channel blockers) when refractory to medical therapy.
2)  HINTS - outperforms MR with DWI within the first 48 hours. Not ideal for the ED