Clinical Question: Mannitol Use in the ED – How to dose and Where it Is Kept?
Mariam Isa, PharmD and Joanne Routsolias, ED Clinical PharmD
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Figure 1. Initial arrhythmia detected on telemetry
Heart of the Matter: Non-Sustained Wide Complex Tachycardia
A 74 year old male with history of STEMI s/p PCI with DES of LAD and RI, HFrEF (EF 20-25%), sick sinus syndrome s/p DC-PPM, atrial flutter, hypertension, insulin-dependent diabetes, severe PAD s/p right IR SFA stent, and pancreatic insufficiency presenting for hypotension from general surgery clinic. The patient is brought to the resuscitation bay and while you are waiting for your work-up the monitor alarms and shows the following (Figure 1).
Michael Hohl MD and Ari Edelheit MD
Read MorePharm & Cheese: A Shocking Case
We start this lovely Wednesday with EMS bringing in a 70-year-old man who just had a v-fib/v-tach arrest. After 5 rounds of CPR, 4 shocks, and 3 doses of epi, they’ve got him back! You prep airway equipment and the ultrasound, and in a few minutes, the patient arrives.
Samson Frendo MD and Eric Leser MD
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