🚨 Post-ROSC Pearl:
Code-dose epi (1mg IV) wears off in ~3 minutes.
That’s your rearrest window.
Have push-dose pressors at the bedside BEFORE the crash comes.
Don’t wait for the monitor to tell you what you already know.
Have a listen for more pearls:
coreem.net/podcast/episode-2…
💉 Naloxone Tips:
Titrate to respiratory effort, NOT full consciousness.
Start low 👇 (0.04-0.1 mg IV) and repeat.
Slamming a full 2mg can trigger acute withdrawal, vomiting, aspiration, pulmonary edema, and a combative patient.
Less is more. Titrate up 👆.
Full article (oldie but goodie): coreem.net/core/naloxone-mas…
Low-risk PE mortality: <1%
Intermediate-risk mortality: 3-15%
High-risk (massive) PE mortality: 25-65%
If SBP <90 for >15 min or requiring pressors → activate your PERT team immediately 🚨
Don't miss our full breakdown ⬇️ coreem.net/podcast/episode-2…
Our mission has always been to bring you high-yield, evidence-based content that you can use immediately on your next shift. We know your time is valuable, which is why we’re proud to officially launch the Core EM Modular CME Course.
coreem.net/blog/medical-educ…
40% of positive blood cultures are contaminants leading to unnecessary antibiotics, imaging, callbacks, and increased length of stays.
Let’s work on avoiding this
Not only should you know what a QuickTrach is, you should definitely know how to use it..
Don’t worry, just sit back, relax, and we’ll teach you in three minutes..
youtu.be/K4BfdTlmzX8?si=0mgq…
And if you want a refresher on managing refractory ventricular arrhythmias, take a look through our podcast review on Electrical Storm or listen to the whole podcast episode for a deep dive
Have you listened to our podcast on VTach Storm? This is a phenomenon you want as much knowledge of as possible PRIOR to having to treat it.
Here’s a brief summary ⬇️🧵1/5 #MedEd