A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
This week we’re covering pulse checks in CPR, a topic covered in prior conference and Journal Clubs but important to emphasize. Detecting a patient’s pulse is critical when assessing for ROSC, but it is fraught with inaccuracy
Week 10: Zengin S et al. Comparison of Manual Pulse Palpation, Cardiac Ultrasonography and Doppler Ultrasonography to Check the Pulse in Cardiopulmonary Arrest Patients. Resus 2018. PMID: 30253230
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County Coronaries: Considering Cook County ECG Cases
Case: A 56 yo male with a history of T2DM, atrial fibrillation (on metoprolol 50 mg XL q daily, not on AC), presents with 3 days of worsening chest pain, epigastric discomfort, and shortness of breath.
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The Weekly Cheese, a short informative literature review for the EM Doc
Case: A 57 yo patient with PMHx of CAD and HTN presents with a regular wide-complex tachycardia, HR 150 but otherwise vitals signs stable. You vaguely remember that there are various algorithms to distinguish VTach from SVT + aberrancy, and wonder if you can potentially give them adenosine and save them an admission.
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