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Carolinas Case Conference - Dr. Nichols

8/27/2015

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Picture
Wellens Syndrome
-Remember, there are both Type A and Type B Wellens findings on EKG
-Both are extremely high risk for unstable LAD occlusion and reperfusion
-Treat like a ACS
-Emergent cardiac consultation for catheterization
-Beware the Wellens patient that develops chest pain

Medical/Trauma Resuscitation Conundrums
-Never let an initial impression turn off your medical thinking
-If the clinical trajectory isn't making sense, revisit your diagnosis and plan
-Ongoing hypoxia and hypotension demands a full reevalution, consider repeating bedside imaging and ultrasound is your best friend
-Upright film more sensitive than supine for blood in the chest, US even better
-Hemothorax rules: 1500 cc immediately, or 200 cc/hr x 4 hours = OR

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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