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8/12/2017

Conference Summary 8/3

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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

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  • Diversity and Inclusion
  • COVID-19
  • Residency
    • Chiefs Welcome
    • Residents >
      • Class of 2021
      • Class of 2022
      • Class of 2023
    • Committees & Involvement
    • Program Director Announcements
    • Hospitals
    • FAQ
    • Curriculum
  • Education
    • Updates
    • Research
    • Podcast Club
    • Online Resources
  • Med Students
    • Rotations
    • Emergency Medicine Interest Group
  • Alumni and Faculty
    • Alumni >
      • Where Do Our Alumni Work?
    • Recent Alumni Photo Galleries
    • Leadership
    • Faculty
  • Fellowships
    • Simulation
    • Ultrasound
    • EMS
    • Toxicology
    • Pediatric Emergency Medicine
    • Education
    • Emergency Disaster and Global Health
    • Critical Care
  • Interview Season
    • Introduction & Events
    • Dallas Living
    • Dining by Neighborhood >
      • Uptown
      • Knox/Henderson/Greenville
      • Bishop Arts/Oak Cliff
      • Deep Ellum
      • Oaklawn
      • Downtown
    • Outdoors and Family Fun