Notes from EMRA 20 in 6 @ ACEP 2018 10-3-18

  • LVAD: Listen, Ventricle, Anticoagulate, Device
  • Wellness: Learn a skill, be happy, duh. Focus on systems instead.
  • K2/Synth Drugs: B-BZDs, L-lytes check ekg, O-opioid reversal, C – contaminants, K – Kidney injury
  • Neonate Resus: Dry, Suction, Stimulate. PPV. Tap out HR while auscultating so team hears.
  • ETOH: AMS 1) infection 2) Metabolic 3) CVA 4) Intox 5) Hypovolemia
  • NOACS: taken w/i 24hrs –> Y? –> reverse if life or limb threatening
  • Saving MOM: 4mins. Assign 3 teams (Resus mom, Airway, Neonate)
  • AMA: Mitigate your patient’s harm, even when they don’t want to be your patient anymore.
  • PIV is the MVP
  • PULMONARY HTN: Don’t throw gas on the fire. IVF and PPV = Bad. Hypoxia = Bad. Good? –> Pressors early (x/c phenylephrine) and Epoprostenol or Inhaled NO.
  • Death Note: Clarity (DEAD), Privacy, Simplicity. Death Narrative not necessarily an announcement.
  • Blast Injury.
  • TXA – give it.
  • Pre-exposure PPX: High risk folks. Truvada daily. Decrease transmission 90%!