Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB (PACEMAKER) - BRUGADA SIGN (SYNDROME) - CORONARY VASOSPASM - PERICARDITIS - HYPERKALEMIA - TAKOTSUBO CARDIOMYOPATHY - MYOCARDITIS - BENIGN EARLY REPOLARIZATION - HYPERCALCEMIA - TRAUMATIC BRAIN INJURY/ICH - VENTRICULAR ANEURYSM - LVH (HIGH VOLTAGE) - HYPOTHERMIA - SPIKED HELMET SIGN #STSegment #STElevation #STEMI #Differential #Diagnosis #Cardiology #Emergency

Association of an Opioid Standard of Practice Intervention With Intravenous Opioid Exposure in Hospitalized Patients Source Article: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2681060 Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Opioid #Oral #Subcutaneous #Intervention #Intravenous #Pain #VisualAbstract

Randomized Controlled Trial of Intravenous Acetaminophen Versus Intravenous Hydromorphone for the Treatment of Acute Pain in the Emergency Department https://doi.org/10.1016/j.annemergmed.2018.06.019 Conclusion: IV Hydromorphone provides greater analgesia than IV acetaminophen, at the cost of more nausea and vomiting Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #EBM #VisualAbstract #Pain #Pharmacology #IV #Acetaminophen #Hydromorphone #Intravenous #Dilaudid

Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraine https://www.ncbi.nlm.nih.gov/pubmed/29046364 Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Prochlorperazine #Diphenhydramine #Hydromorphone #Migraine #EBM #VisualAbstract

Review of Intranasally Administered Medications for Use in the Emergency Department Table of agents, uses, dosing, onset and major side effects Article: https://www.ncbi.nlm.nih.gov/pubmed/28259526 Infographic by David Cisewski, MD https://twitter.com/dhcisewski #Intranasal #Pain #Medications #Comparison #Table #Dosing #VisualAbstract #Pharmacology #PSA

Randomized Clinical Trial of IV Acetaminophen as an Analgesic Adjunct for Older Adults with Acute Severe Pain https://doi.org/10.1111/acem.13556 Conclusion: IV acetaminophen as an adjunct analgesic for acute, severe, pain in older adults provided no superior pain relief when compared to hydromorphone alone. Infographic by David Cisewski, MD https://twitter.com/dhcisewski #Acetaminophen #Adjunct #Hydromorphone #Dilaudid #EBM #VisualAbstract #Pain #Pharmacology #Geriatrics

Intravenous Lidocaine for Intractable Renal Colic Unresponsive to Standard Therapy Sin B, Cao J, Yang D, Ambert K, Punnapuzha S. Intravenous Lidocaine for Intractable Renal Colic Unresponsive to Standard Therapy. Am J Ther. 2018. PMID: 29443696 One-Liner: Use of IV lidocaine for renal colic unresolved by traditional NSAID and opioid treatment suggests efficacy in short-term pain reduction. Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Lidocaine #RenalColic #VisualAbstract #EBM #Pain #Intravenous #IV

Intravenous subdissociative-dose ketamine versus morphine for acute geriatric pain in the Emergency Department: A randomized controlled trial - Motov et al https://www.ncbi.nlm.nih.gov/pubmed/29807629 Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Subdissociative #Ketamine #SDK #GERIKET #EBM #VisualAbstract #Geriatrics #Pain

Hydromorphone use for acute pain: Misconceptions, controversies, and risks. Motov et al https://www.ncbi.nlm.nih.gov/pubmed/29508897 Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Dilaudid #Hydromorphone #Overview #Safety #Pharmacology #VisualAbstract #Pain

Effects of prophylactic anticholinergic medications to decrease extrapyramidal side effects in patients taking acute antiemetic drugs: a systematic review and meta-analysis. Source: https://www.ncbi.nlm.nih.gov/pubmed/29431143 One-Liner: Diphenhydramine reduces extrapyramidal side effects (EPS) when antidopaminergics (metoclopramide and prochlorperazine) are given rapidly (over 2 min bolus) but offers no benefit over placebo when given slowly (over 15 min infusion); the fewest overall EPS are seen when antiemetic given as a 15 min infusion (with or without diphenhydramine). Visual Abstract by David Cisewski, MD https://twitter.com/dhcisewski #Benadryl #Prophylactic #Anticholinergics #Extrapyramidal #EPS #Antiemetics #VisualAbstract #EBM