Tuesday

Advanced Practice: Nebulized TXA for Hemoptysis

As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!

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Advanced Practice: Beyond the Corneal Abrasion

A 28 year old female presents with right eye pain. She wears contact lenses and reports falling asleep with them in for the past few days. On fluroscein examination, you note a lesion that does not look like a typical abrasion.  You wonder if this could be a corneal ulcer and what the appropriate treatment may be?

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Advanced Practice: Pearls for Myasthenia Gravis Intubations

Whereas the dosing of sedative medications is usually unaffected, the chief concern is whether there should be changes for neuromuscular blockade – will your patient with myasthenia gravis require a higher or lower dose of your selected paralytic?

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Advanced Practice - Got a rhythm and it won't let go....

A patient presents in ventricular tachycardia with a blood pressure of 90 systolic. He is diaphoretic and complaining of chest pain. You decide to attempt electrical cardioversion and it fails. You attempts again....and again....and again....without success. You realize this is no ordinary VT...this is electrical storm. Read on for pearls on how to deal with this frightening and deadly condition.

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