PRESSORS! This post was originally submitted as a summary of many different pressors. It is great to think about them all together, but maybe not digestible in a single bite. If you want to learn about them all at once, watch Dr. Di Taranti's lecture from conference last month. Instead, we will break them down one by one, focusing on a different pressor each week, with the summary table re-presented each week to help compare. Use this as spaced repetition. Each week, remind yourself what the different receptors do. Ask yourself how one medication is different from the last. Ask yourself what dose you would start with and which patients you would use it for. Review all the pressors, but do it slowly, one bite at a time, and ease yourself in.
I recently had a case of a new rash and flu-like symptoms. Multiple negative covid and flu tests later, the differential was broadened and DRESS syndrome was diagnosed. With varying symptoms, incomplete presentations, and a delayed onset from drug exposure, this can be tough to diagnose! Be sure to include DRESS syndrome on your differential for rash with systemic symptoms!
A quick summary chart of sedation levels from Dr. Guo. This is important when considering procedural sedation in the emergency department - using a standard language helps to clarify our goals and the risks when planning sedations.