2017 LLSA notes from #ACEP17 twitter
During ACEP 2017 Scientific Assembly there is popular presentation reviewing the readings from the LLSA for the year. These are the tweets that I put out from the talk and are my way of taking notes for myself from a presentation. Posted here for your use and reference.
TWEETS from #ACEP17 LLSA readings reviews
2017 LLSA review with Lovata at #ACEP17 https://t.co/dOTCNOLga5
ACEP clincial policy on aortic dissection for 1st #LLSA #ACEP17
Are there clincial decision rules for low risk pts for aortic dissection? NO #LLSA #ACEP17
Is D Dimer adequate to ID low risk aortic dissection? NO #LLSA #ACEP17
Is CTA equivalent to MRI or TEE for dx of aortic dissection? YES. #LLSA #ACEP17 level B
Can transthoracic echo rule out aortic dissection? NO #LLSA #ACEP17
When we decrease SBP and HR for aortic dissection is morbidity and mortality reduced? Not great evidence level C #LLSA #ACEP17
Angioedema up next #LLSA #ACEP17 rapid firing
Types are Histamine with and without anaphylaxis, ACE inhib and hereditary angioedema #LLSA #ACEP17
Most widely available agent for hereditary angioedema is FFP (not beat but most available) #LLSA #ACEP17
Upper airway angioedema; lower too? Direct visualization to assess. #LLSA #ACEP17
CCB overdose with literature review article. Inherent limitations in Tox literature due to ethics #LLSA #ACEP17
Tx: go decontam, calcium, glucagon, lipids etc. But high dose insulin is best studied #LLSA #ACEP17
Delirium tremendous and treatment: withdrawal starts at 8, peak at 72 and duration average 5-7d #LLSA #ACEP17
CIWA evaluation for DTs help target treatment and prevent getting behind on tx #LLSA #ACEP17
Predicting DTs HR > 100 is a risk for DTs others too but may be important… #LLSA #ACEP17
Benzo to are key to DT tx, choice of agent less important that benzo being given #LLSA #ACEP17
Human trafficking definition by the UN #LLSA #ACEP17 @UN https://t.co/qS7Zyo4lUd
Many human trafficking victims will interact with healthcare providers at some point. #LLSA #ACEP17
Provides an opportunity. Key is separate trafficker and victim to get Hx and information #LLSA #ACEP17
Infection prevention next topic for #LLSA #ACEP17
Prevention of person to person and care associated infections #LLSA #ACEP17
C diff requires soap and water. Spores not tx with Alcohol hand gels. #LLSA #ACEP17
Airborne precaution for zoster and droplet for meningococcus #LLSA #ACEP17 https://t.co/mTjye0sLz3
Lyme disease erythema migrants: to with with dozy if not pregnant. #LLSA #ACEP17
Prophylaxis for Lyme if Rick? Need 72 h of tick adherent to infect, prophylaxis not routine #LLSA #ACEP17
#ultrasoundfirst approach for kidney stones dx has lower radiation exposure #LLSA #ACEP17
Palliative and hospice care not synonymous. #LLSA #ACEP17
Hospice includes prognosis < 6 mos. appropriate to start discussion in ED if appropriate #LLSA #ACEP17
Chemical exposures in the ED varied types of events, agents and volumes #LLSA #ACEP17
Cholinergic remember SLUDGE target respiratory issues with atropine #LLSA #ACEP17 https://t.co/zZxl86rZXF
Hydrocarbons with tachycardia txbwith beta blockade #LLSA #ACEP17 https://t.co/DXClpxaHBJ
For trauma airway remember etomidate should be dosed on IBW consider half dose for shock pts #LLSA #ACEP17 https://t.co/pEy5YnArQu
VTE treatment review article from JAMA. #LLSA #ACEP17
#LLSA #ACEP17 https://t.co/jjALnyc2ce
Provoked VTE 3 mos to, unprovoked prolonged tx, mult unprovoked life long #LLSA #ACEP17
Isolated calf DVT: consider serial US for propagation evaluation rather than anticoagulation #LLSA #ACEP17 https://t.co/yeYq5WnPd5
If need anticoagulation and renal dysfunction start with heparin #LLSA #ACEP17 https://t.co/hQQJ4t8abq