Reunited and it feels so good. It’s great to see some of our graduates crossing paths at the ACEP Scientific Assembly. Don’t forget us little people as you move around the country doing bigger and better things. Keep in touch, guys!!
Wellens’ syndrome it is. (For completeness sake, Dr. Wellens has an “s” a the end of his name – it is not “Wellen’s syndrome” it is “Wellens’ syndrome.” And, whether one should use the apostrophe or not with an eponymous syndrome is debatable. Some sources omit it completely: “Wellens Syndrome” but not “Wellen syndrome” – I feel better now that that’s off my chest.)
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The workaround for this problem is to ‘end’ an exam before you save any images. That resets the clock and your study should cross over on the correct day. It does not save an ’empty study’ and no file without any images are sent to qPath. It’s a freebie. I’d recommend doing that. It will make your images much easier to find in qPath.
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Anaphylaxis occurs on a spectrum. Although anaphylactic shock is a well defined form of distributive shock, your patient does not have to have “shock” to have “anaphylaxis”.
Continue readingAdd 0.01 ml of 1:1,000 epinephrine per ml of lidocaine.
We keep 5 and 30 ml vials of lidocaine in the ED. To make 30 ml of 1:100,000 lidocaine with epi, draw up 0.3 ml of 1:1000 epinephrine with a tuberculin or insulin syringe and inject into the 30 ml vial. To make 10 ml, use two 5 ml vials. Inject the 0.1 ml of epi into one of the 5 ml vials of lidocaine, then draw up both 5 ml vials of lidocaine into one 10 ml syringe. Voila.
Continue readingThe Arkansas Department of Health has loosened their regulation on who qualifies for monoclonal antibodies as a treatment for COVID-19. They released an updated list of qualifications on July 19. I’ll list them here and add a link to download the entire document.
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Searcy EM 