D) Call Cards to evaluate for urgent cardiac cath to stent the native RCA
E) Add dobutamine for inotropic support
F) Give 1 L NS bolus

#foamed #foamcc #cabg #emimcc

I decided to refresh my memory on cardiac surgery "stuff" and honestly I don't get what surgeons / anesthesiologists / CRNAs / perfusionists complain about. It’s literally just blue tube out, red tube in...

#foamed #emimcc

Scenario: you’re intubating, great view, place tube but can’t advance it?

Often occurs due to the ETT bevel (or bougie coude tip) getting hung up on the arytenoid cartilage.

Easy fix: back up ~ 1 cm and rotate ETT 90 degrees counterclockwise.

youtube.com/shorts/GaZqp...
#EMIMCC

No susprise at all. CT coronary is rarely needed after a normal troponin after acute chest pain. #cardiosky #emimcc #emsky www.nejm.org/doi/full/10....

easier to appreciate

Some textbooks include the incorrect instruction to “increase sweep speed.” For this particular assessment, slower can be better.

#foamed #foamcc #pocus #hemodynamics #emimcc

A man in his 70s seeks the ED for pain in his right thigh a week after undergoing coronary angiography. Hemoglobin has gone from 140 to 115. Distal exam is fine. #POCUS shows suspected pseudoanerysm with bleeding in the aneurysm. CT angiography confirms. Vascular surgery successful. #EMIMCC