
EMCrit Podcast
EMCrit Shadowboxing - When to Pull the Trigger
Jun 28, 2023
The podcast explores managing unstable patients with rapid heart rates, navigating complex tachycardias and treatment dilemmas, differentiating fluid overload and poor left-sided heart function, managing patients in atrial fibrillation with rapid ventricular response, achieving procedural sedation for patient comfort, and navigating a patient's hospital course post-cardioversion.
42:49
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Quick takeaways
- Immediate blood pressure support crucial for cardiogenic shock in critical cases.
- Dilemma between heart rate control and blood pressure support in managing unstable patients.
Deep dives
Case Presentation and Discussion
The episode revolves around a case presentation involving a 73-year-old female with complex medical history presenting with dyspnea and other symptoms. The team discusses the initial assessment findings like low blood pressure, high heart rate, and cold, pale appearance. The team prioritizes supporting the blood pressure to address cardiogenic shock suspicions with vasopressors, emphasizing the challenging decision-making process in critical cases.
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