Clint Hendrikse

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Is Kayexalate Useful in the Treatment of Hyperkalemia in the Emergency Department? - R.E.B.E.L. EM - Emergency Medicine Blog

<b>Background:</b> Hyperkalemia is the most common electrolyte disorder seen in the Emergency Department and treatment of hyperkalemia is core knowledge of …

Are thick LV walls the same as LV hypertrophy??

Measuring left ventricular size and wall thickness is a standard part of the routine echo examination. There are normative values for LV wall …

ICU Physiology in 1,000 Words: Cardiopulmonary Resuscitation

Cardiopulmonary Resuscitation<p>The first time I performed cardiopulmonary resuscitation [CPR] on a patient was in the emergency department of …

University of Maryland School of Medicine, Department of Emergency Medicine

The cross-reactivity between cephalosporins and penicillins is significantly lower than the 10% figure many of us learned. In fact, the beta-lactam …

Medicine

Group 2

Practice Essentials<p>Recognizing patients with severe acute pancreatitis as soon as possible is critical for achieving optimal outcomes. Management …

Medicine

Group 2

Practice Essentials<p>An ankle sprain is usually that of an inversion-type twist of the foot, followed by pain and swelling. The most commonly injured …

Blood Cultures in Pneumonia

A 75 year old woman is found to have pneumonia. With a CURB-65 of 3 and a PORT score of 95, she is correctly treated her for community acquired …

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Methylene blue and poison-induced hypotension

<b>Methylene blue used in the treatment of refractory shock resulting from drug poisoning. Fisher J et al. Clin Toxicol 2014 Jan;52:63-65</b><p>Refractory …

Head injury in pediatric patients: To CT or not to CT?

Intracranial injury is the leading cause of death and disability in children. It can arise after severe, moderate, or minor head injury. Children …

Adult Epiglottitis Update - emDOCs.net - Emergency Medicine Education

<b>Author: Vivian Lau, DO // Editor: Alex Koyfman, MD (@EMHighAK)</b><p>General Info/Intro<p>Localized inflammation to epiglottis, base of tongue, lingual …

Massive Blood Transfusion - emDOCs.net - Emergency Medicine Education

Background<p>Resuscitation with crystalloid and plasma-poor red blood cell concentrates can lead to <b>dilutional coagulopathy</b>, which is further exacerbated …

Vaginal Bleeding in the Non-Pregnant Patient - emDOCs.net - Emergency Medicine Education

General Intro / Main Questions<p>Theoretical Case<p>18 yo F G0P0 presents with sudden onset vaginal bleeding after passing multiple large clots and three …

Furosemide in the Treatment of Acute Pulmonary Edema - emDOCs.net - Emergency Medicine Education

Anand Swaminathan, MD, MPH (@EMSwami) is an assistant professor and assistant program director at the NYU/Bellevue Department of Emergency Medicine …

The HEART Score: A New ED Chest Pain Risk Stratification Score

Chest pain is a common presentation complaint to the emergency department (ED) and has a wide range of etiologies including urgent diagnoses (i.e. …

Should We Admit All Patients with Sternal Fractures?

The detection rate of sternal fractures following motor vehicle collisions and blunt trauma to the chest and abdomen has increased over the past …

How To Place A Blakemore Tube in an ED Patient with Upper GI Bleeding from Esophageal Varices

A salem sump NG tube is laid next to the Blakemore with its tip just proximal to the gastric balloon. A piece of tape is placed on the NGT at the …

The Surviving Sepsis Campaign Guidelines 2012: Update for Emergency Physicians

The Surviving Sepsis Campaign recently developed and published an updated version in 2012 of the international guidelines for the assessment and …

Thyroid Storm: Treatment Strategies

The Case<p>You have a 54-year-old female who presents to the emergency department with a chief complaint of “just feeling out of it.” She has felt “off …

Shock Index: A Predictor of Morbidity and Mortality?

Emergent airway management and severe sepsis are both high-risk situations that are commonly encountered by emergency physicians. It is well known …

Carbon Monoxide Poisoning: Common Questions and Dilemmas

Carbon monoxide (CO) is an odorless, colorless gas and is one of the most common causes of unintentional poisoning deaths in the United States. It is …

New Year's Resolution: Let's Dose Vancomycin Correctly in the ED

Vancomycin remains one of our workhorse antimicrobials for treating infections caused by methicillin-resistant <i>S. aureus</i><br>(MRSA). As the incidence of …

Tramadol: When to avoid it

Tramadol is a popular agent for the treatment of pain and offers an alternative to opioid therapy. Tramadol exerts its analgesic effects through weak …

QI Series: Pitfalls in Diagnosing Hyperkalemia

A 55 year old male was brought to the Emergency Department (ED) by paramedics complaining of weakness and chest discomfort. His past medical history …

A Comment on Fluids in Sepsis

In the last 5 years or so, we have had a better understanding of capillary fluid dynamics, particularly in conjunction with an appreciation of the …

Podcast 113 - Post-Cardiac Arrest Care in 2013 with Stephen Bernard - Part I

I've been waiting for this one for a long time. I got to interview Dr. Stephen Bernard on the topic of post-cardiac arrest care.<p><b>Professor Stephen</b> …

Podcast 114 - Post-Arrest Care in 2013 with Stephen Bernard - Part II

I've been waiting for this one for a long time. I get to interview Dr. Stephen Bernard on the topic of post-arrest care.<p><b>Professor Stephen Bernard</b> …

Subsegmental Pulmonary Embolisms (SSPE) are Important

Multi-detector computed tomographic pulmonary angiography (CTPA) allows for better visualization of peripheral pulmonary arteries allowing for …

Modified Sgarbossa Criteria: Ready for Primetime?

<b>Modified Sgarbossa Criteria: Ready for Primetime?</b><p>"The recognition of ST-segment elevation myocardial infarction (STEMI) in the presence of left bundle-branch block (LBBB) remains difficult and frustrating to both emergency medicine physicians and cardiologists. According to the 2004 STEMI guidelines, emergent reperfusion therapy was recommended to patients with suspected ischemia and new LBBB however, the new 2013 STEMI guidelines made a drastic change by removing this recommendation. Several …