18 results
Consensus diagnostic criteria for asthma-COPD overlap syndrome (ACOS) in patients with airflow limitation. COPD=chronic obstructive pulmonary
overlap syndrome (ACOS ... Diagnosis #PCC #IM ... #ACOS #AsthmaCOPD ... COPD #Criteria #BMJ
Possible mechanisms for the development of asthma-COPD overlap syndrome (ACOS). Two mechanisms by which ACOS might
overlap syndrome (ACOS ... mechanisms by which ACOS ... Pathophys #PCC #IM ... #ACOS #AsthmaCOPD ... #Asthma #COPD #BMJ
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Many authors state ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... 4 mg IV (10 mg IM ... fosphenytoin 20 mg/kg ... then 0.5-10 mg/kg ... hr infusion #Status
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
for Convulsive Status ... Lorazepam 0.1 mg/kg ... Midazolam 10 mg IM ... medications in status ... #Convulsive #Status
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
patients, consider: - BMP ... blood cultures - ECG ... Diagnosis #EM #IM
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for Convulsive Status ... Lorazepam 0.1 mg/kg ... Midazolam 10 mg IM ... MEDICATION IN STATUS ... anesthetics #Status
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... Altered Mental Status ... telemetry, 12-Lead EKG ... Anaphylactic >> IM
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
of Convulsive Status ... Early Status Epilepticus ... OR • IM Midazolam ... ) Established Status ... Refractory Status
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Algorithm for Status ... Phenytoin 20 mg/kg ... IM or IV at 150 ... acid 20-40 mg/kg ... IV at 1-5 mg/kg