EMCrit Podcast EMCrit Shadowboxing Case 6 - A Respiratory Case along with Extra Commentary from Mae West
Nov 23, 2023
The podcast discusses the evolving responsibilities of emergency physicians in ongoing care, analyzing a chest x-ray for respiratory symptoms, the safety of using vancomycin and piperacillin/tazobactam combination, a case involving a patient with sinus tachycardia and ischemic changes, evaluating pulmonary embolism using CT Pulmonary Angiography, managing a patient with potential deterioration, the Prevent study and antibiotic choice, and surgical consultation and antibiotic therapy for respiratory cases.
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Chapters
Transcript
Looks Like Shit Score
- Consider the "looks like shit" score over other scoring systems for pneumonia.
- This approach prioritizes patient management over relying solely on calculators.
Investigate Inconsistencies
- If a patient's presentation doesn't add up, investigate further.
- Don't rely solely on initial findings; order additional imaging if needed.
Bedside Ultrasound
- Perform bedside ultrasound for patients with abnormal vital signs and chest pain or shortness of breath.
- This practice can significantly alter the diagnostic approach.