Month: September 2017

Surviving Overnights

One of the most difficult aspects of Emergency Medicine is shift work. Specifically, surviving overnights and the constant circadian chaos our body goes through by constantly rotating through morning, evening, and and overnight shifts. It happens to all of us, and in this episode I’m going to give you some personal strategies I’ve developed while in training.

Tachycardia

EM doctors specifically look for two things every time they see an EKG. Ischemic changes (STEMI, ST depressions, inverted T waves), and dysrhythmias (bradycardia and tachycardias). In this episode, we cover the 5 categories of tachycardias and a basic approach to each one.

Status Epilepticus (Critical Diagnosis)

On occasion, seizures won’t stop, or a seizure lasts longer then 5 minutes. Unlike a simple, single, resolved seizure, status epilepticus is an emergency. In these scenarios, we add to the descriptive and diagnostic workup discussed last week, and move on to a focused treatment algorithm to stop the seizure as soon as possible.