ACEP, other lessons learned
Posted by GruntDoc on 22nd April 2006
It’s over, and having fun in Vegas trumped blogging. So, now that we’re home safe and sound, here’s some other things I learned / reinforced while there:
- we’re state-of-the-art with our procedural sedation where I work. Good news.
- for crashing patients, get the sono to the bedside, and think about dissection as a cause early
- trendelenberg position doesn’t improve BP, and should be abandoned unless trying to start a central line
- shock for fib, then do CPR without checking for ROSC for 2 minutes (big change)
- GERD flare-ups and cardiac ischemia are often linked! (Weird but true)
- soon, the 64 detector CT will do away with diagnostic caths (but not yet)
- morphine is not helpful for decompensated CHF (dCHF); no appreciable venodilation
- morphine is, however, a significant risk factor for needing to intubate in dCHF (5x)
- BiPap and Cpap are equivalent for dCHF, and getting them started early is the key
- Brugada syndrome is more prevalent than previously thought: look for it in your syncopal patients
- add colchicine to aspirin for your pericarditis patients
- things to avoid in pericarditis: indocin and steroids
A fun time was had by all, and it was a good, if sparsely-attended conference with very good speakers.
Now to start incorporating this into my practice…
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