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Emergency Medicine Cases

EM Quick Hits 61 TEE in Cardiac Arrest, Nebulized Ketamine, Cellulitis Update, SQ Insulin for DKA, Medicolegal DDx Documentation Tips

Dec 3, 2024
Join Ross Prager, an intensivist from London with expertise in point-of-care ultrasound, as he discusses the transformative role of transesophageal echocardiography (TEE) during cardiac arrest. Justin Morgenstern shares the latest research on nebulized ketamine as a game-changing analgesic in the ED, especially for older patients. Matthew McArthur presents compelling evidence for using subcutaneous insulin protocols for managing DKA. Together, they highlight new insights that enhance patient care and emergency protocols.
59:53

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Quick takeaways

  • Transesophageal echocardiography (TEE) enhances cardiac arrest management by providing real-time insights that guide actionable interventions effectively.
  • Nebulized ketamine offers a novel approach for analgesia in the emergency department, providing relief while minimizing systemic side effects.

Deep dives

The Importance of Transesophageal Echo (TEE) in Cardiac Arrest

Transesophageal echo (TEE) plays a crucial role in managing cardiac arrest by offering real-time insights that are often missed with surface echo. This method assists in determining the underlying cause of the arrest, leading to actionable interventions in approximately 25 to 35% of cases. By effectively identifying reversible pathologies such as severe hypovolemia or dynamic left ventricular outflow tract obstruction, TEE enhances the quality of care in critical situations. Its ability to provide specific guidance helps ensure that resuscitation efforts are targeted and efficient.

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