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…