Click here
Gimme the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top left to access.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
EDIT:
I have stopped updating the AI artwork of this site some time ago and decided to transition it to focus completely on medical education going forward. If any interest on the art side of thing see instagram @drpetefx for much more content which I hope continues to always improve.
New
stories
Media
Learning
Featured
Click here
Gimme
the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top menu to access.
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
New
stories
Media
Learning
Featured
New stories
Featured
Learning
Media
Click here
Gimme the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top left to access.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
EDIT:
I have stopped updating the AI artwork of this site some time ago and decided to transition it to focus completely on medical education going forward. If any interest on the art side of thing see instagram @drpetefx for much more content which I hope continues to always improve.
New
stories
Media
Learning
Featured
Click here
Gimme
the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top menu to access.
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
New
stories
Media
Learning
Featured
New stories
Featured
Learning
Media
Click here
Gimme the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top left to access.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
EDIT:
I have stopped updating the AI artwork of this site some time ago and decided to transition it to focus completely on medical education going forward. If any interest on the art side of thing see instagram @drpetefx for much more content which I hope continues to always improve.
New
stories
Media
Learning
Featured
Click here
Gimme
the Loot!
All things Lifesaver Loot found here. Check the current jackpot, make a donation, brush up on the rules, submit a winning ticket, or study OMI patterns—its all here ! Click button on top menu to access.
What is Shady T Waves? It's a personal blog that is a confusing mix of two subjects.
The first and main subject is emergency medicine. You can find lessons I think are worthy of your time and other associated em content here.
The second smaller part is a side of AI based artwork. It was actually while trying to figure out how to make an emergency med related animation that I discovered AI and got hooked.
So I'm sorry for the confusion but I didn't have the attention span for two sites. Also, something tells me that I'll be finding more and more ways to merge the two soon.
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
Click to find out more
End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
Vasotec (enalaprilat) can be helpful adjunct for acute pulmonary edema.
For example -- if the patient needs a NTG drip weaned off.
Cardiology Nugget
Click to find out more
AST elevations can indicate cardiac or muscle damage.
Troponin and CK reliably elevate. In fact, it was the first cardiac enzyme used for diagnosis of MI.
Cardiology Nugget
Click to find out more
Some oral antihypertensives are fast and reliable enough to treat hypertensive emergencies.
Learn to use Captopril and Nifedpine for ED hypertensive complaints.
Cardiology Nugget
Click to find out more
Littmann Sign: Double counting HR on telemetry or ecg by computer.
Frequently an indication of hyperkalemia.
Cardiology Nugget
Click to find out more
If unable to determine a rhythm is sinus or not try an alternative lead setup.
Lewis leads are designed for this exact purpose.
RA (ICS 2) and LA (ICS 4) hugging sternum on R side
Set monitor lead to I
Cardiology Nugget
Click to find out more
Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
Click to find out more
Haldol can be considered first line for acute headache in the ED.
Same level of evidence as toradol and higher than benadryl per headache society guidelines.
Neuro Nugget
Click to find out more
If urgently treating tachyarrythmia with IV amiodarone consider multiple boluses rather than just a drip.
Remember it's half life is days to months.
Cardiology Nugget
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Moving a blood pressure cuff distally along the arm (towards hand) will result in a higher reading.
Moving the cuff proximally (upwards) results in lower reading.
Cardiology Nugget
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Two effective options for the hyperkalemic patient less well known
terbutaline subq
albuterol via ett
Cardiology Nugget
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End tidal CO2 can be used to monitor treatment of PE.
ABG CO2 - ETCO2 = delta. At baseline ~2-5mmHg.
This value represents dead space (DS).
Conditions which⬆DS (COPD, PE, CHF) will ⬆delta
1: Check ABG vs ETCO2 for size of delta
2:As PE resolves will manifest as dec delta by an increasing ETCO2 value.
3:Pick a lower ETCO2 #. Use as trigger point to reassess for worsening of PE.
CritEM Nugget
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