John Cafaro MD
A 63 year-old female presents to the Emergency Department with sudden onset chest pain that is tearing to the back. Blood pressure is 200/110 and the patient looks very uncomfortable. You order a CTA of the Chest, Abdomen and Pelvis and diagnose Aortic Dissection. What is the medication of choice in the initial management of aortic dissection in this patient?
Answer is C: Esmolol
This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis?
A 74 year old male presents to the Emergency Department with altered mental status. Family reports decreased intake over the past few days. She takes Digoxin for CHF. Her bllood pressure is 78/42 and her HR is 48. Her creatinine is 3.7, K 6.0, serum digoxin level is pending. What is the most appropriate initial therapy for this patient?
A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!