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Carolinas Case

6/22/2017

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Picture
​Case 1 -- Hypotensive Inferior MI
* Mmm bread and butter... Avoid nitroglycerin in the inferior MI. Preload!
* Hypotension prior to RSI drugs? Bad. Crystalloid not helping? Pressors.
* Make your FIRST attempt your best attempt.
* Cath lab is a farther walk than anticipated... and may not have airway resources!
* Be the leader: emphasize closed loop communication especially in code situations

Case 2 -- NAT
* Do not outsmart yourself. Do not talk yourself out of being suspicious for NAT.
* No injury is 100% specific for NAT. Our job is to be sensitive, not necessarily specific.
* Contact DSS! First encounter is mandatory reporter. Otherwise, story may change.
* Just because DSS investigates and clears does not mean NAT is ruled out.
* Be wary of your documentation: be objective, not a detective. Don't write things like "child consoled by mother after trauma"--remember, the victim often returns to the abuser
* Like it or not, we all have inherent bias in the way we approach patients from various backgrounds. Be mindful of your assumptions. 

* Be on the same page and contact your colleagues: Social work, CHIPS, Child Abuse team, Trauma


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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction