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60-Second Soapbox: Abernethy (Pain Medications), Bellew (Posttest Probability), Bouthillet (Wide Complex Tachycardia)

Posted by Sam Shaikh, DO on

Welcome to the second bolus of 60-Second Soapbox! Each episode, one lucky individual gets exactly 1 whole minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!

Dr. Mike Abernethy
@FLTDOC1
Chief Flight Physician
University of Wisconsin


#FutureSoapboxChallenge

  • Luke Regan
  • Andy Lee
  • Seth Trueger

References

  1. Birnbaum A1, Esses D, Bijur PE, Holden L, Gallagher EJ.Randomized double-blind placebo-controlled trial of two intravenous morphine dosages (0.10 mg/kg and 0.15 mg/kg) in emergency department patients with moderate to severe acute pain.Ann Emerg Med. 2007 PMID: 16978739
  2. Kanowitz A1, Dunn TM, Kanowitz EM, Dunn WW, Vanbuskirk K. Safety and effectiveness of fentanyl administration for prehospital pain management.Prehosp Emerg Care. 2006 PMID: 16418084
  3. Soriya GC, McVaney KE, Liao MM, Haukoos JS, Byyny RL, Gravitz C, Colwell CB.Safety of prehospital intravenous fentanyl for adult trauma patients. J Trauma Acute Care Surg. 2012 PMID: 22491566

Dr. Shawna Bellew
@SBellzMD
Chief Resident, Emergency Medicine
Mayo Clinic


#FutureSoapboxChallenge

  • Dustin Leigh
  • Damian Baalmann
  • Kristi Colbenson

References

  1. Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ. 2011; 343: d4277. PMID: 21768192
  2. Perry JJ, Stiell IG, Sivilotti ML, et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013; 310(12): 1248-55. PMID: 24065011

Tom Bouthillet
@tbouthillet
Paramedic, Hilton Head Island Fire & Rescue
Editor-in-Chief EMS12Lead.com & Chief Content Architect of ECGMedicalTraining.com


#FutureSoapboxChallenge

  • Kelly Bouthillet
  • Vince DiGiulio
  • Christopher Watford

References

  1. Alberca T, Almendral J, Sanz P, Almazan A, Cantalapiedra J, Delcan J. Evaluation of the Specificity of Morphological Electrocardiographic Criteria for the Differential Diagnosis of Wide QRS Complex Tachycardia in Patients With Intraventricular Conduction Defects. Circulation. 1997. PMID: 9396451
  2. Brugada P, Brugada J, Mont L, Smeets J, Andries E. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991. PMID: 2022022
  3. Cummins R. ACLS: Principles and Practice. Dallas, Texas: American Heart Association; 2003.10917326
  4. Isenhour J, Craig S, Gibbs M, Littmann L, Rose G, Risch R. Wide-complex Tachycardia: Continued Evaluation of Diagnostic Criteria. Acad Emergency Med. 2000. PMID 10917326
  5. Herbert M, Votey S, Morgan M, Cameron P, Dziukas L. Failure to Agree on the Electrocardiographic Diagnosis of Ventricular Tachycardia. Annals of Emergency Medicine. 1996. PMID: 8572445
  6. Hollowell H, Mattu A, Perron A, Holstege C, Brady W. Wide-complex tachycardia: beyond the traditional differential diagnosis of ventricular tachycardia vs supraventricular tachycardia with aberrant conduction. The American Journal of Emergency Medicine. 2005. PMID: 16291445
  7. Isenhour J, Craig S, Gibbs M, Littmann L, Rose G, Risch R. Wide-complex Tachycardia: Continued Evaluation of Diagnostic Criteria. Acad Emergency Med. 2000. PMID: 10917326
  8. Neumar R, Otto C, Link M et al. Part 8: Adult Advanced Cardiovascular Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010. PMID: 20956224

Author information

Sam Shaikh, DO

Editor, 60-Second Soapbox series
Assistant Clinical Professor, Rocky Vista University
Clinical Instructor, University of Colorado School of Medicine
2014-15 ALiEM-CORD Social Media and Digital Scholarship Fellow

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The post 60-Second Soapbox: Abernethy (Pain Medications), Bellew (Posttest Probability), Bouthillet (Wide Complex Tachycardia) appeared first on ALiEM.

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