Asynchronous Learning

August 2017 Asynchronous Learning

Round one…

It has to start somewhere
It has to start sometime
What better place than here
What better time than now?
Rage Against The Machine – Guerilla Radio

Valvular Emergencies

Acute Valvular Emergencies: Pearls and Pitfalls
Management of the Crashing Aortic Stenosis Patient
Podcast 166 – Endocarditis with David Carr

Wide Complex Tachycardias

Stable Monomorphic Ventricular Tachycardia Management in the ED
REBELCast: The PROCAMIO Trial -IV Procainamide vs IV Amiodarone for the Acute Treatment of Stable Wide Complex Tachycardia
An unstable wide complex tachycardia resistant to electrical cardioversion
How Wide is your Differential

Congestive Heart Failure

Congestive Heart Failure
ED Management of Heart Failure: Pearls & Pitfalls
US Against The World: Ultrasound in differentiating COPD vs CHF

Crashing CHF Patient

Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
Furosemide in the Treatment of Acute Pulmonary Edema
Morphine Kills in Acute Decompensated Heart Failure
Cardiogenic Shock

Extra Learning *

Pediatric Extra
Episode 84 – Congenital Heart Disease Emergencies
* Not required

3 comments on “August 2017 Asynchronous Learning

  1. vT1LRBB6XddaYB8goef5wPP7kplh462VqUkghwIWwjg=

    What dosing of Procainamide are you using for VT? There seems to be several different dosing recommendations out there depending on where you look. In the emDOCS post with the dose of 10mg/kg (1 g max) @ 100mg/min over 10 mins seems the easiest to remember.


    • Agree, there is a lot of different dosing recommendations (found in the Table 1 – Comparison of Outcomes on the emDOCS post). Most of us have been going on the PROCAMIO Trial Ortiz M et al dosing (10 mg/kg/20 min) referenced in the REBELCast link above as it is a larger study & more recent than most. As long as the endpoint is known when to stop the drug, such as resolution of VT, QRS widening by 50% of its original length, hypotension or other presumed adverse effect it does not seem there is any ‘standard’ dosage.


  2. The sound of silence.


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