John Cafaro MD

Board Review: Aortic Dissection

Editor: 
John Cafaro MD

A 63 year-old female presents to the Emergency Department with sudden onset chest pain that is tearing to the back. Blood pressure is 200/110 and the patient looks very uncomfortable. You order a CTA of the Chest, Abdomen and Pelvis and diagnose Aortic Dissection. What is the medication of choice in the initial management of aortic dissection in this patient?

A. Nitroprusside

B. Nicardipine

C. Esmolol

D. NItroglycerin

E. Diltiazem 

 

 

 

 

 

Answer is C: Esmolol

 

John Cafaro MD
Sat, 04/07/2018 - 12:39am
Topic: 
Critical Care
Category (Day): 
Saturday

Back to Basics: Infantile Botulism

Editor: 
Alexis Pelletier-Bui, MD
Catherine Ginty, MD

This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis? 

John Cafaro MD
Mon, 04/02/2018 - 12:09am
Topic: 
Neurology
Pediatrics
Toxicology
Category (Day): 
Monday

Advanced Practice: Cardiac Arrest in Pregnancy

Editor: 
Richard Byrne, MD

A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!

John Cafaro MD
Tags: 
cardiac arrest in pregnancy
Tue, 03/20/2018 - 8:37pm
Topic: 
Critical Care
Obstetrics/Gynecology
Category (Day): 
Tuesday

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