Author: Ivan Ivanov, DO

Conference Summaries

Conference Summary 9/1/21

Warm welcome and thanks to our PEM team for joining: Dr. Rhodes and Dr. Weber!!Next week conference will be zoom, will go over some of the EMRAP cardio symposium Dr. Kindschuh Oral updates STROKE CODEWill be switching from alteplase to tenecteplase (TNKase)🔈 Goal to give thrombolytics <30 minutesWorking on developing a script for TNKase consent.  How we will get to <30 minutes TNKase administration:Stroke stretcher in triageDoor to CT 10 minutesStandardized informed consentIVP TNKase as while in CTDose: 0.25mg/kg (max dose 25mg) IV bolus over 10second

by Ivan Ivanov, DO
Conference Summaries

Conference Summary 8/25/21

Dr. Kindschuh news and updates: Dr. Gladstein gave tPA for a stroke in 24 minutes yesterday!Coney goal is <30 minutesPlease clean your equipment (glidescopes, ultrasound, etc) 7a: Chirag / Denise - resident lectures (please send your topics to me soon - 20min max)745a: Dan (rotating intern) - Syncope ED Pearls8a: Dr Misch - Managing Unstable GI bleeds (non-administrative)9a: Dr Viguri - Understanding Opioids10a: Dr Patel - EKGs11a: Dr Seeram - DKA/HHS -- (not today) Pancreatitis - ChiragPancreatitis dx, need â…”1) Epigastric tenderness2) Lipase >3x nor

by Ivan Ivanov, DO
Conference Summaries

Conference Summary 8/18/21

Residency updates/news: GI CODE reminder from Dr. KindschuhRockall >3 (10% mortality risk) →  activate GI CODEGlasgow-Blachford >6 (50% of intervention) → activate GI CODEOnly for UPPER GI BLEEDCall GI code because you think you need endoscopyGet emergency release blood, should be within 20 minutes!Hgb <7 and tachycardia? Get emergency release blood!Hgb >7 and needs blood? Get crossmatched blood within 60 minutesWhen in doubt, check wall in resuscitation room for GI Code guidelines 7a: Resident Lectures - Raj - Pediatric Respiratory Distress / Mi

by Ivan Ivanov, DO