Paucis Verbis card: Acute limb ischemia

Thrombectomy acute limb ischemia

Acute limb ischemia (ALI) is a true vascular emergency. It doesn’t occur as frequently as the more high-profile conditions as cerebrovascular accidents and acute myocardial infarcts, but it portends similarly high morbidity and mortality risk.

  • How do you stage a patient with ALI, based on the Rutherford classification system?
  • What is the ED treatment plan?
  • Should this patient go to Interventional Radiology or the Operating Room for more definitive management?

PV Card: Acute Limb Ischemia with Rutherford Classification


Go to ALiEM (PV) Cards for more resources.

By |2021-12-21T13:31:37-08:00Aug 13, 2010|ALiEM Cards, Cardiovascular|

Paucis Verbis card: Vasopressors and Inotropes for Shock

IVdripsmThe treatment of shock should focus on correcting the underlying pathophysiology. With persistent hemodynamic instability, a vasopressor and/or inotrope should be selected. Reviewing receptor physiology can help you select the best-fit agent for the patient’s clinical condition. There is an especially useful table on medication selection in the reviewed 2008 EM Clinics of North America article.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews Vasopressors and Inotropes for the Treatment of Shock.

PV Card: Vasopressors and Inotropes in Shock


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Edit 3/28/14: Dopamine removed as second-tier agent for septic shock (mainly reserved for rare cases of inappropriate bradycardia at low risk for arrhythmias)

Reference

  1. Ellender T, Skinner J. The use of vasopressors and inotropes in the emergency medical treatment of shock. Emerg Med Clin North Am. 2008;26(3):759-86, ix. [PubMed]
By |2021-10-19T18:48:16-07:00Apr 30, 2010|ALiEM Cards, Cardiovascular, Tox & Medications|

Paucis Verbis Project: A peripheral brain e-card series

Paucis verbis cards (PV) Pocket Contents CardsA few days I wrote about my “peripheral brain” note cards that I carry with me on each ED shift. These cards contain brief summaries of updated guidelines, evidence based literature, and clinical pearls. I constantly get requests for a copy of them, but they are fairly outdated now that I’m out of residency.

So starting today, I’m going to start periodically posting new note cards in Word and PDF format that can be printed on any 4×6 inch index card. These will be posted every Friday. Feel free to download, edit, change font or font size, and use. You can add/remove cards as you collect them. Comments are definitely welcome.

Paucis Verbis Project

“Paucis verbis” means “in a few words” in Latin. I’ll initially start reviewing new articles from the Emergency Medicine Clinics of North America publication series. This is my favorite review resource in EM. It comes out every 3 months.

My first Paucis Verbis card will be a duo review. The first article is on shock by a super-star friend of mine, Dr. Matt Strehlow (Stanford). The second is first-authored by Dr. Philip Perera (Columbia) on the RUSH Exam and the role of ultrasonography in shock resuscitation.

PV Card: Shock


Adapted from [1, 2]
Go to ALiEM (PV) Cards for more resources.

References

  1. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Emerg Med Clin North Am. 2010;28(1):29-56, vii. [PubMed]
  2. Strehlow M. Early identification of shock in critically ill patients. Emerg Med Clin North Am. 2010;28(1):57-66, vii. [PubMed]
By |2021-10-19T19:22:27-07:00Dec 22, 2009|ALiEM Cards, Cardiovascular|
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